Wellspace Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPACE PRIMARY CARE PLLC

Practice address

65 Walnut St Ste 500
Wellesley, MA 02481-2112

Phone

(781) 304-8236

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Dick, DONPI 1912345430

Title

Family Medicine Physician

Phone

(714) 553-3887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Dick, DO

  • Family Medicine Physician
  • Pawtucket, RI
  • NPI 1912345430

  MA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1104647817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CUMBERLAND RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782111",
            "telephone_number": "714-553-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 500",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812112",
            "telephone_number": "781-304-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPACE PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "714-553-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellesley Primary Care Medicine, PC
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• Wellesley Wellness, LLC
• Wellesley Wound Care LLC
• Wellness Care Associates PLLC
• David John Wenzel, M.D.
• West Suburban Internists Inc
• Gary Scott Wetreich, DDS
• Samantha White
• Cassandra Whitman, BCBA, LABA

• Family Medicine Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.