Active NPI
James M Wells, DDS
- General Practice Dentistry
- Morehead City, NC
National Provider Identifier
1043340763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4131
- Practice address
- 208 Professional Cir
Morehead City, NC 28557-4302 - Phone
- (252) 247-3010
- Fax
- (252) 247-3044
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4131 | NC | Primary |
Addresses
Primary practice location
208 Professional Cir
Morehead City, NC 28557-4302
Mailing address
208 Professional Cir
Morehead City, NC 28557-4302
Phone (252) 247-3010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521973 | Other | NC | UNITED CONCORDIA |
| 99118 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 8999118 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 12, 2014 through Nov 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4131 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043340763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 PROFESSIONAL CIR",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574302",
"telephone_number": "252-247-3010",
"fax_number": "252-247-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 PROFESSIONAL CIR",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574302",
"telephone_number": "252-247-3010",
"fax_number": "252-247-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "521973",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "99118",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8999118",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morehead City, NC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.