KERMIT NEVARO WELCH (NPI# 1245425552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245425552 |
| Entity Type | Individual |
| Full Name | KERMIT NEVARO WELCH |
| Credential | DDS MSD |
| Practice Address |
321 South L B J Drive San Marcos TX 78666 |
| Practice Telephone | 5121396800 |
| Practice Fax Number | 5123968008 |
| Mailing Telephone | 5121396800 |
| Mailing Fax Number | 5123968008 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7589 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 803444 | 01 | |
| BLUE CROSS BLUE SHIELD | D07589 | 01 |
| Street Address |
321 SOUTH L B J DRIVE |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1255854758 | Zachary D Nelson Dmd Dental Corporation | Dentist | 955 Boardwalk Ste 202, San Marcos, CA 92078-2659 | 2017-07-18 |
| 1659637973 | Laura Takahashi Deyo | Dentist | 1293 Holmgrove Dr, San Marcos, CA 92078-2800 | 2012-04-11 |
| 1578706271 | Michael R Zarnowitz | Dentist | 833 W San Marcos Blvd, San Marcos, CA 92078-1112 | 2009-04-09 |
| 1538385430 | Jeffrey Kyle Ault | Dentist | 217 N C M Allen Pkwy, San Marcos, TX 78666-5731 | 2007-04-18 |
| 1396812426 | George Peter Tsopels | Dentist | 245 N Rancho Santa Fe Rd Ste 207, San Marcos, CA 92069-1278 | 2006-11-30 |
| 1730675661 | Nader Ehsani Dds Inc | Dentist | 833 W San Marcos Blvd, San Marcos, CA 92078-1112 | 2018-07-03 |
| 1457741860 | Joseph Morneau Dds Inc | Dentist | 955 Boardwalk, Suite 202, San Marcos, CA 92078-2659 | 2015-01-23 |
| 1700152659 | Vesna-lea Ferrer | Dentist | 709 Center Dr Ste 101, San Marcos, CA 92069-2502 | 2012-03-26 |
| 1851605166 | Consumerhealth, Inc. | Dentist | 752 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2010-07-28 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.