Memphis Endodontics, PLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

MEMPHIS ENDODONTICS, PLC

Practice address

1755 Kirby Pkwy Ste 103
Memphis, TN 38120-4333

Phone

(901) 737-1927

Fax

(901) 761-1656

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Larry Kevin Wells, DMDNPI 1043432404

Title

Owner/Clinician

Phone

(901) 737-1927

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Larry Kevin Wells, DMD

  • Endodontics
  • Memphis, TN
  • NPI 1043432404
  NPD Authorized official
• Robert Brandon Scott, D.D.S.

  • Endodontics
  • Memphis, TN
  • NPI 1598107567
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1568024131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 KIRBY PKWY STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204333",
            "telephone_number": "901-737-1927",
            "fax_number": "901-761-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 KIRBY PKWY STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204333",
            "telephone_number": "901-737-1927",
            "fax_number": "901-761-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Poplar View Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380173435",
            "country_code": "US",
            "telephone_number": "901-221-8939",
            "fax_number": "901-316-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMPHIS ENDODONTICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "901-737-1927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Community Health & Wellness Clinic, PLLC
• Memphis Dermatology Clinic PA
• Memphis DME Supply LLC
• Memphis Electrocardiographic Physicians PLLC
• Memphis Emergency Dental
• Memphis Eye & Cataract Associates PLC
• Memphis Eye and Cataract Ambulatory Surgery Center Inc
• Memphis Eye and Cataract Associates PLC
• Memphis Eye Clinic PLC
• Memphis Family and Cosmetic Dentistry

• Endodontics in Memphis, TN
• Providers in Memphis, TN by specialty
• Endodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.