Gary Don Wendell, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104801 Issued in CA

Practice address

5354 Lookout Pass
Wesley Chapel, FL 33544-5501

Phone

(425) 517-9316

Fax

(628) 237-0456

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Dentist, LLC

  • Pediatric Dentistry
  • Rochester, NH
  • NPI 1497918429
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1063424844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 LOOKOUT PASS",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335445501",
            "telephone_number": "425-517-9316",
            "fax_number": "628-237-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 LOOKOUT PASS",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335445501",
            "telephone_number": "425-517-9316",
            "fax_number": "628-237-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "GARY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "104801",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "61041300",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "3134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30300498",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Way Tampa LLC
• Wellness Way Wesley Chapel LLC
• Wells Baur Endodontics
• Breanna Lynn Wells
• Brian Wells, DMD
• Wesley Chapel Counseling
• Wesley Chapel Dental Care, PLLC
• Wesley Chapel Dermatology LLC
• Wesley Chapel Dialysis, LLC (Wesley Chapel Dialysis)
• Wesley Chapel DME LLC

• Pediatric Dentistry in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.