Individual provider Active NPI

Larry G. Welch, DDS

  • General Practice Dentistry
  • Signal Mountain, TN
National Provider Identifier
1912013244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3116 Issued in TN
Practice address
1408 James Blvd
Signal Mountain, TN 37377-2630
Phone
(423) 886-3649
Fax
(423) 886-2726
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3116 TN Primary

Addresses

Primary practice location

1408 James Blvd
Signal Mountain, TN 37377-2630

Mailing address

1408 James Blvd
Signal Mountain, TN 37377-2630
Phone (423) 886-3649

Other names 1

  • Larry G. Welch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS3116TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Dental Center, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912013244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 JAMES BLVD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772630",
            "telephone_number": "423-886-3649",
            "fax_number": "423-886-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 JAMES BLVD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772630",
            "telephone_number": "423-886-3649",
            "fax_number": "423-886-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LARRY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "WELCH",
            "middle_name": "G.",
            "credential": "DDS, PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Signal Mountain, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.