Brian Wells, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN17840 Issued in FL

Practice address

3757 Maryweather LN
101
Wesley Chapel, FL 33544-7789

Phone

(813) 907-7668

NPI assigned

Jan 9, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1730238924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 MARYWEATHER LN",
            "address_2": "101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447789",
            "telephone_number": "813-907-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 MARYWEATHER LN",
            "address_2": "101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447789",
            "telephone_number": "813-907-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206628",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tameka Weller
• Wellness Way Tampa LLC
• Wellness Way Wesley Chapel LLC
• Wells Baur Endodontics
• Breanna Lynn Wells
• Gary Don Wendell, D.D.S.
• Wesley Chapel Counseling
• Wesley Chapel Dental Care, PLLC
• Wesley Chapel Dermatology LLC
• Wesley Chapel Dialysis, LLC (Wesley Chapel Dialysis)

• Endodontics in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.