Individual provider Active NPI

Dionne Joi Wells, DMD

  • Dentist
  • Marietta, GA
National Provider Identifier
1538714639
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015942 Issued in GA
Practice address
3805 Dallas Hwy SW Ste 806
Marietta, GA 30064-1620
Phone
(678) 203-3464
NPI assigned
Aug 6, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015942 GA Primary

Addresses

Primary practice location

3805 Dallas Hwy SW Ste 806
Marietta, GA 30064-1620

Mailing address

1607 Defoors Walk NW
Atlanta, GA 30318-3003
Phone (678) 656-5349

Other practice location 1

2995 Atlanta Rd SE Ste 200
Smyrna, GA 30080-3650
Phone (678) 203-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20191112003503 GA Order and Referring Only - DentistPractitioner - Dentist 0345672325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015942GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smyrna Dentist Office, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1538714639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 DEFOORS WALK NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183003",
            "telephone_number": "678-656-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 DALLAS HWY SW STE 806",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641620",
            "telephone_number": "678-203-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 Atlanta Rd SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300803650",
            "country_code": "US",
            "telephone_number": "678-203-3463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DIONNE",
        "middle_name": "JOI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.