NPIMap

Organization Active NPI

L. Brett Wells DDS PA

  • Public Health Dentistry
  • Raleigh, NC
National Provider Identifier
1497180749
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
L. BRETT WELLS DDS PA
Practice address
8450 Louisburg Rd
Suite 130
Raleigh, NC 27616-5884
Phone
(919) 266-5332
Fax
(919) 266-5389
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Laura Illingworth
Title
RCM
Phone
(919) 266-5332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

8450 Louisburg Rd
Suite 130
Raleigh, NC 27616-5884

Mailing address

8450 Louisburg Rd
Suite 130
Raleigh, NC 27616-5884
Phone (919) 266-5332

National Provider Directory

National Provider Directory
Tax ID family
L Brett Wells DDS PA2 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.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1497180749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 LOUISBURG RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165884",
            "telephone_number": "919-266-5332",
            "fax_number": "919-266-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 LOUISBURG RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165884",
            "telephone_number": "919-266-5332",
            "fax_number": "919-266-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. BRETT WELLS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "ILLINGWORTH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "919-266-5332"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.