Individual provider Active NPI

Llewellyn Lee Welstead, D.D.S.

  • Dentist
  • Leesburg, VA
National Provider Identifier
1962720672
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008876 Issued in VA
Practice address
706 S King St
Suite 5
Leesburg, VA 20175-3918
Phone
(703) 771-8500
Fax
(703) 771-9541
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008876 VA Primary

Addresses

Primary practice location

706 S King St
Suite 5
Leesburg, VA 20175-3918

Mailing address

706 S. King Street
Suite 5
Leesburg, VA 20175
Phone (703) 771-8500

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160711000515 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153613211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401008876VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Welstead & Rosinski LLC Dba the Leesburg Dentists Dentist PastSince Nov 15, 2020 Accepting new patients
Fuller & Spencer Fuller, PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1962720672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S. KING STREET",
            "address_2": "SUITE 5",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-771-8500",
            "fax_number": "703-771-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S KING ST",
            "address_2": "SUITE 5",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753918",
            "telephone_number": "703-771-8500",
            "fax_number": "703-771-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSTEAD",
        "first_name": "LLEWELLYN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.