Individual provider Active NPI

Rick Dale Wells, D.D.S.

  • General Practice Dentistry
  • Tehachapi, CA
National Provider Identifier
1154417897
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS 33315 Issued in CA
Practice address
20878 Sage LN
Tehachapi, CA 93561-6423
Phone
(661) 822-4861
Fax
(661) 822-9212
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS 33315 CA Primary

Addresses

Primary practice location

20878 Sage LN
Tehachapi, CA 93561-6423

Mailing address

20878 Sage LN
Tehachapi, CA 93561-6423
Phone (661) 822-4861

Other names 1

  • Dr. Rick Dale Wells Professional name

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

LicenseStateTypeSpecialty
DDS 33315CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Snow Tehachapi Dental Office Incorporated PastSince Jan 10, 2021 Accepting new patients
Wells Dental Group Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1154417897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20878 SAGE LN",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935616423",
            "telephone_number": "661-822-4861",
            "fax_number": "661-822-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20878 SAGE LN",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935616423",
            "telephone_number": "661-822-4861",
            "fax_number": "661-822-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "RICK",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS 33315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "WELLS",
            "middle_name": "DALE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.