Kevin J. Welch DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011453A Issued in IN

Legal business name

KEVIN J. WELCH DDS INC

Doing business as

Tenth Street Dental Care

Practice address

6919 E 10TH St
A-1
Indianapolis, IN 46219-4893

Phone

(317) 358-8885

Fax

(317) 358-8886

NPI assigned

Aug 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin J Welch, DDS

Title

Owner

Phone

(317) 358-8885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tenth Street Dental Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1811243454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST",
            "address_2": "A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194893",
            "telephone_number": "317-358-8885",
            "fax_number": "317-358-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST",
            "address_2": "A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194893",
            "telephone_number": "317-358-8885",
            "fax_number": "317-358-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. WELCH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-358-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011453A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201033180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenth Street Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Kestenman, MD
• Stephanie Ebert Kester, RN, BSN
• Brianna Kestler Nicole Kestler
• Jordan Ketchem
• Destini Alma Ketchens, DSW, LCSW
• Kevin P Reckley OD
• Kevin P. Tolliver, D.D.S., P.C. (Cosmetic and Family Dentistry by Dr. Kevin Tolliver)
• Kevin's Gifted Hands Home Care Services LLC
• Key 2 Home Care Co.
• Key Autism Services in, LLC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.