Individual provider Active NPI

David L Wells II, MD DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lexington, KY
National Provider Identifier
1801892047
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
37301 Issued in KY
Practice address
2250 Leestown Rd
Veterans Affairs Medical Center-LD Dept of Admin Med
Lexington, KY 40511
Phone
(859) 233-4511
NPI assigned
Jun 22, 2005
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 37301 KY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 37301 KY Primary

Addresses

Primary practice location

2250 Leestown Rd
Veterans Affairs Medical Center-LD Dept of Admin Med
Lexington, KY 40511

Mailing address

1101 Veterans Dr
Lexington, KY 40502-2235
Phone (859) 233-4511

Other practice location 1

1101 Veterans Dr
Lexington, KY 40502-2235
Phone (859) 233-4511

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erena & Peterson, PLLC Oral & Maxillofacial Surgery PastSince Dec 23, 2010 Accepting new patients
K. Kevin Neshat, DDS, MD, PA Past Accepting new patients
Gregory R. Erena, P.S.C. Oral & Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 3

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1801892047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VETERANS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022235",
            "telephone_number": "859-233-4511",
            "fax_number": "859-685-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "address_2": "VETERANS AFFAIRS MEDICAL CENTER-LD DEPT OF ADMIN MED",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40511",
            "telephone_number": "859-233-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405022235",
            "country_code": "US",
            "telephone_number": "859-233-4511",
            "fax_number": "859-685-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD  DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "37301",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "37301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.