Jacqueline Homm Wells, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

223323 Issued in AK

Practice address

16635 Centerfield Dr Ste 200
Eagle River, AK 99577-7746

Phone

(907) 694-5207

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1841035623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16635 CENTERFIELD DR STE 200",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16635 CENTERFIELD DR STE 200",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777746",
            "telephone_number": "907-694-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JACQUELINE",
        "middle_name": "HOMM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "223323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Weaver, M.S., CCC-SLP
• Richard Rodd Wehling
• Alexis Teresita Weiland, CCC-SLP
• Sjofn Cathleen Weisner, PHD
• Danielle Wellik, M.S., CCC-SLP
• Katrina White, L.AC.
• Rachel Lynn White, PHD, BCBA-D, LBA
• Amy Kathryn Whitley, LCSW
• Zan Michael Whitman, ARNP
• Wholistic Counseling

• General Practice Dentistry in Eagle River, AK
• Providers in Eagle River, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.