Active NPI
Allen Cowper Wells, DDS
- Dentist
- Sapulpa, OK
National Provider Identifier
1043220114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4276
- Practice address
- 415 S Mission St
Sapulpa, OK 74066-4653 - Phone
- (918) 224-1811
- Fax
- (918) 224-1811
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4276 | OK | Primary |
Addresses
Primary practice location
415 S Mission St
Sapulpa, OK 74066-4653
Mailing address
PO Box 850
Sapulpa, OK 74067-0850
Phone (918) 224-1811
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4276 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043220114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740670850",
"telephone_number": "918-224-1811",
"fax_number": "918-224-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S MISSION ST",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664653",
"telephone_number": "918-224-1811",
"fax_number": "918-224-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "ALLEN",
"middle_name": "COWPER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "4276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.