Wellspring Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS7361 Issued in TN

Legal business name

WELLSPRING ORTHODONTICS, PC

Practice address

104 Berrywood Dr
Columbia, TN 38401-6408

Phone

(866) 771-3535

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Lucas, DDS

Title

Owner

Phone

(615) 771-3535

Specialties & licenses 1

Addresses

Tax ID family

Columbia Orthodontics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Columbia Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, TN
  • NPI 1477796118
  NPD tax ID

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1457524647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 COOL SPRINGS BLVD",
            "address_2": "SUITE 102",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677215",
            "telephone_number": "615-771-3535",
            "fax_number": "615-771-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016408",
            "telephone_number": "866-771-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-771-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS7361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milaya L Webster
• Wellness Ambulatory Care Inc.
• Debra Janelle Wells, APN
• Kristie Wells
• Monica Leigh Wells, RN
• Daniel W West, AU D.
• Lauren E. Wheeler, M.D.
• Sarah Wheeler
• Whetstone Valley Stables LLC
• Caitlyn Whitacre

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbia, TN
• Providers in Columbia, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.