Wellbeing Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WELLBEING DENTAL

Practice address

1731 W Baseline Rd Ste 104
Mesa, AZ 85202-5730

Phone

(480) 757-7777

Fax

(480) 656-2888

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Kristen Karlsen

Title

Office Manager

Phone

(480) 757-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1639723687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025730",
            "telephone_number": "480-757-7777",
            "fax_number": "480-656-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025730",
            "telephone_number": "480-757-7777",
            "fax_number": "480-656-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "KARLSEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-757-7777"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235119785",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wellbeingdentalmesa@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1731 W Baseline Rd Ste 104",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852025730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Preston Welker, COTA
• Well Az LLC
• Well Chiropractic Clinic 2 LLC
• Well Chiropractic Clinic LLC
• Well Played Pediatric Therapy LLC
• D-Ann Weller, CRNP
• Jennifer A Weller, PHD
• Jonathan Neil Weller, PH.D.
• Wellness Associates, PLLC
• Wellness Care Clinics of Arizona

• Dental Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.