Keven D Wells DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

019026710 Issued in IL

Legal business name

KEVEN D WELLS DDS PC

Practice address

1516 Legacy Cir
Unit #104
Naperville, IL 60563-1257

Phone

(630) 505-1516

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Keven D WellsNPI 1841415213

Title

President

Phone

(773) 793-0734

Specialties & licenses 1

Addresses

Other names 1

• Living Well Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keven D Wells, D.D.S.

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1841415213
  NPD (past) Authorized official

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1821402017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 LEGACY CIR",
            "address_2": "UNIT 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631257",
            "telephone_number": "630-505-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 LEGACY CIR",
            "address_2": "UNIT #104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631257",
            "telephone_number": "630-505-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVEN D WELLS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-793-0734",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Kessler, LCSW
• Kester Drugs Incorporated
• Ketamine Wellness Centers Chicago
• Melissa Ketner, LSW
• Dipti N Kevat, DC
• Kevin Eschmeyer, D.M.D., P.C.
• Kevin Knipp Couples and Family Therapy LTD.
• Mark Alan Kexel Jr.
• Vevosulu Rachel Keyho, LSW
• Durre Shahwar Khalil, M.D.

• Dentist in Naperville, IL
• Providers in Naperville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.