Active NPI
David Robert Wells, D.C.
- Chiropractor
- Glen Rock, PA
National Provider Identifier
1679612659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007378L
- Practice address
- 40 Water St
Glen Rock, PA 17327-1011 - Phone
- (717) 235-8855
- Fax
- (717) 235-8850
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC007378L | PA | Primary |
Addresses
Primary practice location
40 Water St
Glen Rock, PA 17327-1011
Mailing address
40 Water St
Glen Rock, PA 17327-1011
Phone (717) 235-8855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01743950 01 | Medicaid | PA | |
| SO1351319 | Other | PA | HIGHMARK BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Glen Rock, PA
- NPI 1891810040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679612659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WATER ST",
"city": "GLEN ROCK",
"state": "PA",
"postal_code": "173271011",
"telephone_number": "717-235-8855",
"fax_number": "717-235-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WATER ST",
"city": "GLEN ROCK",
"state": "PA",
"postal_code": "173271011",
"telephone_number": "717-235-8855",
"fax_number": "717-235-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007378L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01743950 01",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "SO1351319",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Rock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.