John David Wells, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6613 Issued in NC

Practice address

16600 Birkdalde Commons Parkway
Suite B
Huntersville, NC 28078

Phone

(704) 987-9888

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• J Wells DDS PLLC

  dba Lake Endo

  • Endodontics
  • Huntersville, NC
  • NPI 1164355483
  NPD (past) Authorized official
• John D. Wells, D.D.S. PA

  dba Lake Endo

  • Endodontics
  • Huntersville, NC
  • NPI 1619603156
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801926944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALDE COMMONS PARKWAY",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-987-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALDE COMMONS PARKWAY",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-987-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Weir, LMT, MMP
• Jacob Weiss, D.D.S.
• Joshua James Welch, PHARMD
• Weldy Life Enterprises Inc. (Synergy HomeCare of Lake Norman and Charlotte)
• Well Played Pediatric Therapy LLC
• Jonathan Wells, DMD
• Julie Marie Wentz, DO
• Brian Thomas Westermann, PTA
• Caitlyn Westmoreland
• Ryan S Whalen, DDS

• Endodontics in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Endodontics in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.