DR. MEGAN ELYSE WELBORN (NPI# 1285085274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285085274 |
| Entity Type | Individual |
| Full Name | DR. MEGAN ELYSE WELBORN |
| Other Name | MISS MEGAN ELYSE PENTICOFF |
| Credential | D.D.S. |
| Practice Address |
1021 Bandana Blvd E Saint Paul MN 55108-5113 |
| Mailing Address |
1956 Fairmount Ave Saint Paul MN 55105-1540 |
| Practice Telephone | 6516450449 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13717 | MN | Dental Providers |
| Street Address |
1021 BANDANA BLVD E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867967 | Charles Edward Kath | Dentist | 1021 Bandana Blvd E, Saint Paul, MN 55108-5113 | 2005-11-07 |
| 1871946459 | Rachel Zerby | Audiologist | 1021 Bandana Blvd E, Suite 100, Saint Paul, MN 55108-5113 | 2016-07-19 |
| 1821451774 | Edlund Dental, LLC | Dentist | 1021 Bandana Blvd E, Suite #105, Saint Paul, MN 55108-5113 | 2016-03-29 |
| 1417344110 | Laurel Urquhart Welch | Physical Therapist | 1021 Bandana Blvd E, Suite 123, Saint Paul, MN 55108-5113 | 2015-04-20 |
| 1124437108 | Kimberley Mullin | Physician Assistant | 1021 Bandana Blvd E, Suite 100, Saint Paul, MN 55108-5113 | 2014-08-04 |
| 1770990467 | Gabrielle Rivard | Physician Assistant | 1021 Bandana Blvd E, Saint Paul, MN 55108-5113 | 2014-07-15 |
| 1376976332 | Tara N Peacock | Nurse Practitioner | 1021 Bandana Blvd E, Suite 100, Saint Paul, MN 55108-5113 | 2013-08-14 |
| 1831521848 | Hnouchi Patricia Lochungvu | Family Medicine | 1021 Bandana Blvd E, Suite #100, Saint Paul, MN 55108-5113 | 2013-07-31 |
| 1447537162 | Michelle Josephine Parra | Physical Therapist | 1021 Bandana Blvd E, Suite 123, Saint Paul, MN 55108-5113 | 2011-11-09 |
| 1326353731 | Sarah A Siemer | Physical Therapist | 1021 Bandana Blvd E, Saint Paul, MN 55108-5113 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1205289428 | Chukwujindu Onyemordi Nwaigbo | Dentist | 476 Herschel St, Apt 1, Saint Paul, MN 55104-3608 | 2016-07-22 |
| 1427302983 | Ali Barbarawi | Dentist | 1200 Robert St S, Saint Paul, MN 55118-2308 | 2012-11-06 |
| 1801029293 | Family First Dental Associates of West Point, P.C. | Dentist | 809 6th St, Saint Paul, NE 68873-1604 | 2009-09-01 |
| 1942470539 | Michael A. Kurkowski, Pa | Dentist | 3500 Rice St, Saint Paul, MN 55126-3043 | 2008-03-10 |
| 1841317732 | Mark I. Malterud, D.d.s., P.a. | Dentist | 770 Mount Curve Blvd, Saint Paul, MN 55116-1165 | 2007-03-23 |
| 1124172754 | Thomas Elliot Vukodinovich | Dentist | 542 Snelling Ave S, Saint Paul, MN 55116-1565 | 2007-01-22 |
| 1699825612 | Lezlie Ann Nelson | Dentist | 375 Jackson St Ste 200, Saint Paul, MN 55101-1806 | 2007-01-11 |
| 1174671358 | Lynn Robert Ostlund | Dentist | 1043 Payne Ave, Saint Paul, MN 55101-3840 | 2007-01-06 |
| 1295890895 | Cherokee Dental, P.a. | Dentist | 374 Annapolis St W, Saint Paul, MN 55118-1107 | 2006-12-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
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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.