Jennifer L Wells, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9248 Issued in AZ

Practice address

2875 W Ray Rd Ste 16
Chandler, AZ 85224-3619

Phone

(480) 792-1543

NPI assigned

Jun 15, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chandler Modern Dentistry and Orthodontics, LLP

  dba Chandler Modern Dentistry and Orthodontics

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1700222916
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649651613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD STE 16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243619",
            "telephone_number": "480-792-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD STE 16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243619",
            "telephone_number": "480-792-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "9248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness 1St, LLC
• Wellness 2 Shape LLC
• Wellness Tree PLC
• Antoinette Malinda Wells, BA
• Autumn Wells
• Wellspring Integrative Medicine PLLC
• Jaimei Zhang Wendt, MD
• Kelly Wenger, DPT
• Brandi Lee Wentland, M.A., CCC-SLP
• Jessica Wenz

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.