Christopher R Wells, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3568 Issued in ID

Practice address

1880 Judith LN Ste 210
Boise, ID 83705-3185

Phone

(208) 345-2771

Fax

(208) 345-2888

NPI assigned

Mar 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Christopher R Wells DMD PC

  • Dentist
  • Boise, ID
  • NPI 1801811732
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229731200000",
    "number": "1447421995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 JUDITH LN STE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053185",
            "telephone_number": "208-345-2771",
            "fax_number": "208-345-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 JUDITH LN STE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053185",
            "telephone_number": "208-345-2771",
            "fax_number": "208-345-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellnest Health Services
• Allison Nichole Wells, OTR/L
• Annika Wells
• Brittany Wells
• Britton C Wells, MD
• Katy Wells, BCBA
• Kenneth Wells, LCSW
• Lindsey Wells, NP-C
• Stephen Wells, LCSW
• Wellspace PLLC

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.