Individual provider Active NPI

Jamal Wells, DDS

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1801450242
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012628 Issued in AZ
Practice address
4550 E Bell Rd Ste 106
Phoenix, AZ 85032-9342
Phone
(602) 344-9530
NPI assigned
Apr 30, 2019
Last updated
Sep 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 061150 NY
Dentist 122300000X D012628 AZ
General Practice Dentistry 1223G0001X D012628 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd Ste 106
Phoenix, AZ 85032-9342

Mailing address

3123 W Cypress St
Phoenix, AZ 85009-2446
Phone (928) 202-0181

Other practice location 1

1091 Main St
Buffalo, NY 14209-2305
Phone (716) 242-8200

Other practice location 2

462 Grider St
Buffalo, NY 14215-3021
Phone (928) 202-0181

Other practice location 3

8875 Porter Rd
Niagara Falls, NY 14304-1694
Phone (928) 202-0181

Other practice location 4

4233 Maple Rd
Buffalo, NY 14226-1039
Phone (716) 631-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190808001460 NY Order and Referring Only - DentistPractitioner - Dentist 8426385873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D012628AZMDDentist
061150NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dental Services Foundation CurrentSince Sep 21, 2025 Accepting new patients
Pediatric Dental Associates PLLC General Practice PastSince Oct 1, 2020 Accepting new patients
University Pediatric Dentistry, P.C. PastSince Oct 1, 2020 Accepting new patients

Locations

4550 E Bell Rd
Ste 106
Phoenix, AZ 85032
Phone (602) 344-9530

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1801450242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 W CYPRESS ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850092446",
            "telephone_number": "928-202-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329342",
            "telephone_number": "602-344-9530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1091 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092305",
            "country_code": "US",
            "telephone_number": "716-242-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153021",
            "country_code": "US",
            "telephone_number": "928-202-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8875 Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143041694",
            "country_code": "US",
            "telephone_number": "928-202-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4233 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142261039",
            "country_code": "US",
            "telephone_number": "716-631-2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JAMAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061150",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012628",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.