John R. Wells, D.M.D., P. S. C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12009997 Issued in IN

Legal business name

JOHN R. WELLS, D.M.D., P. S. C.

Doing business as

Hendricks Pediatric Dentistry

Practice address

1411 S Green St
Suite #110
Brownsburg, IN 46112-2049

Phone

(317) 852-8113

Fax

(317) 852-8115

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John R. Wells, D.M.D.

Title

President

Phone

(317) 852-8113

Specialties & licenses 1

Addresses

Other names 1

• Hendricks Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013954726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S GREEN ST",
            "address_2": "SUITE #110",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122049",
            "telephone_number": "317-852-8113",
            "fax_number": "317-852-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S GREEN ST",
            "address_2": "SUITE #110",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122049",
            "telephone_number": "317-852-8113",
            "fax_number": "317-852-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. WELLS, D.M.D., P. S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-852-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendricks Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Jernagan
• Crystal Jessee, LMFT, NCC
• David Miller Jessup, MS, ATC
• Michelle Jett
• Dishonda Jewell, RBT
• Emma John, OT
• Abigail Johnson
• Adrienne Johnson
• Alyssa Johnson, LCSW
• Caitlyn Johnson, RBT

• Pediatric Dentistry in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.