Adam Christian Welty, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.028104 Issued in IL

Practice address

1237 Sweetbriar PL
Galesburg, IL 61401-2343

Phone

(309) 342-7112

NPI assigned

Jan 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Welty Dental LLC

  • General Practice Dentistry
  • Galesburg, IL
  • NPI 1144154766
  NPD Authorized official
• Galva Family Dentistry, Inc.

  • General Practice Dentistry
  • Galesburg, IL
  • NPI 1447640594
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1912202227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 SWEETBRIAR PL",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012343",
            "telephone_number": "309-342-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 SWEETBRIAR PL",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012343",
            "telephone_number": "309-342-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "ADAM",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Weidman, MD
• Ann Weik
• Jacobus Anton Wellerdieck, PT
• Matt Wells, MHP
• Welty Dental LLC
• Tommy Lynn West, M.D.
• Western Illinois Cancer Treatment Center
• Western Illinois Kidney Center
• Western Illinois Managed Home Services, Inc.
• Western Illinois Oral & Maxillofacial Surgery, LTD.

• General Practice Dentistry in Galesburg, IL
• Providers in Galesburg, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.