Active NPI
Jed M Wells, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- TX1355
- Practice address
- 6828 Springfield Ave
Suite 2
Laredo, TX 78041-2286 - Phone
- (956) 726-9797
- Fax
- (956) 726-9965
- NPI assigned
- Jul 12, 2005
- Reactivated
- Mar 28, 2006
- Last updated
- Jan 7, 2025
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | TX1355 | TX | Primary |
Addresses
Primary practice location
6828 Springfield Ave
Suite 2
Laredo, TX 78041-2286
Mailing address
PO Box 60998
Corpus Christi, TX 78466-0998
Phone (361) 452-4978
Other practice location 1
641 Everhart Rd
Corpus Christi, TX 78411-1903
Phone (361) 452-4978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092738602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6828 Springfield Ave
Suite 2
Laredo, TX 78041-2287
Phone (956) 726-9797
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX1355 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laredo's Foot Care Center, PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
641 Everhart Rd
Corpus Christi, TX 78411
Phone (361) 452-4978
6828 Springfield Ave
Ste 2
Laredo, TX 78041
Phone (956) 726-9797
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Laredo, TX
- NPI 1376750331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1083612238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60998",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784660998",
"telephone_number": "361-452-4978",
"fax_number": "361-452-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6828 SPRINGFIELD AVE",
"address_2": "SUITE 2",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412286",
"telephone_number": "956-726-9797",
"fax_number": "956-726-9965"
}
],
"practiceLocations": [
{
"address_1": "641 Everhart Rd",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784111903",
"country_code": "US",
"telephone_number": "361-452-4978",
"fax_number": "361-452-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "JED",
"middle_name": "M",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "TX1355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092738602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.