Individual provider Active NPI

Mark Duane Welch, D.C.

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1942292818
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22206 Issued in CA
Practice address
1101 Standiford Ave
Ste A6
Modesto, CA 95350-0982
Phone
(209) 522-0822
Fax
(209) 522-4563
NPI assigned
Aug 17, 2005
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22206 CA Primary

Addresses

Primary practice location

1101 Standiford Ave
Ste A6
Modesto, CA 95350-0982

Mailing address

1101 Standiford Ave
Ste A6
Modesto, CA 95350-0982
Phone (209) 522-0822

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ61519ZOtherCABLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22206CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Chiropractic Office Inc Chiropractor CurrentSince Feb 8, 2023 Accepting new patients

Locations

1101 Standiford Ave
Ste A6
Modesto, CA 95350
Phone (209) 522-0822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1942292818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE",
            "address_2": "STE A6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500982",
            "telephone_number": "209-522-0822",
            "fax_number": "209-522-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE",
            "address_2": "STE A6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500982",
            "telephone_number": "209-522-0822",
            "fax_number": "209-522-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MARK",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ61519Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.