Active NPI
Kalli Marcel Welch, D.C.
- Chiropractor
- Eugene, OR
National Provider Identifier
1851668321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4999
- Practice address
- 372 W 12TH Ave Ste 3
Eugene, OR 97401-3493 - Phone
- (541) 214-9015
- Fax
- (541) 262-6991
- NPI assigned
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4999 | OR | Primary |
Addresses
Primary practice location
372 W 12TH Ave Ste 3
Eugene, OR 97401-3493
Mailing address
372 W 12TH Ave Ste 3
Eugene, OR 97401-3493
Phone (541) 214-9015
Other names 1
- Dr. Kal Marcel Welch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111222000416 | OR | Practitioner - Chiropractic | 7911173976 | Practice locations: Eugene, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4999 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welch Chiropractic Services | Chiropractor | Current | Accepting new patients |
| Joshua B. Anderson, D.C.P.C. | Chiropractor | Current | Accepting new patients |
| Village Health, Inc. | Chiropractor | Past | Accepting new patients |
Locations
305 W 7th Ave
Eugene, OR 97401
Phone (541) 343-3477
372 W 12th Ave
Ste 3
Eugene, OR 97401
Phone (541) 214-9015
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Eugene, OR
- NPI 1669878252
-
- Chiropractor
- Eugene, OR
- NPI 1629628862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1851668321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 W 12TH AVE STE 3",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013493",
"telephone_number": "541-214-9015",
"fax_number": "541-262-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 W 12TH AVE STE 3",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013493",
"telephone_number": "541-214-9015",
"fax_number": "541-262-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "KALLI",
"middle_name": "MARCEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-28",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAL",
"last_name": "WELCH",
"middle_name": "MARCEL",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.