Active NPI
Jamal Wells, DDS
- General Practice Dentistry
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D012628
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808001460 | NY | Order and Referring Only - Dentist | 8426385873 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012628 | AZ | MD | Dentist |
| 061150 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Dental Services Foundation | Current | Accepting new patients | |
| Pediatric Dental Associates PLLC | General Practice | Past | Accepting new patients |
| University Pediatric Dentistry, P.C. | Past | 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.
-
- Dentist
- Tucson, AZ
- NPI 1124989421
-
- Medical Physician Assistant
- Phoenix, AZ
- NPI 1659848208
-
- Pediatric Dentistry
- Williamsville, NY
- NPI 1144730649
General Practice
-
- Pediatric Dentistry
- Buffalo, NY
- NPI 1649389560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.