Individual provider Active NPI

Adriana M Wells, D.D.S.

  • Periodontics
  • The Woodlands, TX
National Provider Identifier
1184870149
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
26314 Issued in TX
Practice address
3117 College Park Dr. Suite #230
The Woodlands, TX 77384
Phone
(936) 231-8937
Fax
(936) 231-8943
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 18484 FL
Periodontics 1223P0300X 26314 TX Primary

Addresses

Primary practice location

3117 College Park Dr. Suite #230
The Woodlands, TX 77384

Mailing address

3117 College Park Dr. Suite #230
The Woodlands, TX 77384
Phone (936) 231-8937

Other names 1

  • Adriana M Wells Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 12, 2024 through Jul 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18484FLMDPeriodontist
26314TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Dental Enterprises CurrentSince May 12, 2024 Accepting new patients

Locations

3117 College Park Dr
Ste 230
The Woodlands, TX 77384
Phone (936) 231-8937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1184870149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 COLLEGE PARK DR. SUITE #230",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-231-8937",
            "fax_number": "936-231-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 COLLEGE PARK DR. SUITE #230",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-231-8937",
            "fax_number": "936-231-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ADRIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "18484",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "26314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "WELLS",
            "middle_name": "M",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.