Active NPI
Jack Arllen Wells III, DC
- Chiropractor
- Belton, TX
National Provider Identifier
1659619583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12216
- Practice address
- 128 N Main St
Belton, TX 76513-3210 - Phone
- (254) 415-8985
- Fax
- (254) 831-5068
- NPI assigned
- Jan 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12216 | TX | Primary |
Addresses
Primary practice location
128 N Main St
Belton, TX 76513-3210
Mailing address
128 N Main St Unit a
Belton, TX 76513-3210
Phone (254) 415-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12216 | Other | TX | TEXAS BOARD OF CHIROPRACTIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12216 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gegel Anesthesia 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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1710379003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1659619583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 N MAIN ST UNIT A",
"city": "BELTON",
"state": "TX",
"postal_code": "765133210",
"telephone_number": "254-415-8985",
"fax_number": "254-831-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N MAIN ST",
"city": "BELTON",
"state": "TX",
"postal_code": "765133210",
"telephone_number": "254-415-8985",
"fax_number": "254-831-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JACK",
"middle_name": "ARLLEN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2021-02-11",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC",
"identifier": "12216",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.