Individual provider Active NPI

Kalli Marcel Welch, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1851668321
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4999 Issued in OR
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

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000416 OR Practitioner - Chiropractic 7911173976 Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4999ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Chiropractic Services Chiropractor CurrentSince Sep 20, 2020 Accepting new patients
Joshua B. Anderson, D.C.P.C. Chiropractor CurrentSince Sep 25, 2019 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.

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.

Verify at the official NPI Registry.