Active NPI
Nathaniel G Wells, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Knoxville, TN
National Provider Identifier
1366739591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10039
- Practice address
- 1930 Alcoa Hwy
A-335
Knoxville, TN 37920-1500 - Phone
- (865) 305-9123
- Fax
- (865) 305-4501
- NPI assigned
- Jul 8, 2011
- Last updated
- Jul 2, 2015
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10039 | TN | Primary |
Addresses
Primary practice location
1930 Alcoa Hwy
A-335
Knoxville, TN 37920-1500
Mailing address
117 W Sevier Ave
Suite 220
Kingsport, TN 37660-3799
Phone (423) 224-3200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10039 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L Alan Bacon DDS PC & John Collins DDS PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| L Alan Bacon DDS PC & John Collins DDS PC | Oral and Maxillofacial Surgery | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Associated Oral and Maxillofacial Surgeons
- Oral and Maxillofacial Surgery (Dentist)
- Johnson City, TN
- NPI 1518969229
-
dba Associated Oral and Maxillofacial Surgeons
- Oral and Maxillofacial Surgery (Dentist)
- Bristol, TN
- NPI 1609878388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1366739591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W SEVIER AVE",
"address_2": "SUITE 220",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603799",
"telephone_number": "423-224-3200",
"fax_number": "423-224-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 ALCOA HWY",
"address_2": "A-335",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201500",
"telephone_number": "865-305-9123",
"fax_number": "865-305-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "NATHANIEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "10039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.