Individual provider Active NPI

G. Patrick Wells Jr., D.D.S.

  • Dentist
  • Metairie, LA
National Provider Identifier
1336321868
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4019 Issued in LA
Practice address
3521 North Arnoult Rd.
Suite B
Metairie, LA 70002-3395
Phone
(504) 888-1833
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4019 LA Primary

Addresses

Primary practice location

3521 North Arnoult Rd.
Suite B
Metairie, LA 70002-3395

Mailing address

3521 North Arnoult Rd.
Suite B
Metairie, LA 70002-3395
Phone (504) 888-1833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302002096 LA Order and Referring Only - DentistPractitioner - Dentist 1850697772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4019LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1336321868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 NORTH ARNOULT RD.",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023395",
            "telephone_number": "504-888-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NORTH ARNOULT RD.",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023395",
            "telephone_number": "504-888-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "G.",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.