Individual provider Active NPI

Gordan W Wells, DDS

  • Dentist
  • Ft Collins, CO
National Provider Identifier
1851349971
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104511 Issued in CO
Practice address
702 W Drake Rd
BLDG G Suite 107
Ft Collins, CO 80526
Phone
(970) 493-9299
Fax
(970) 530-2488
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104511 CO Primary

Addresses

Primary practice location

702 W Drake Rd
BLDG G Suite 107
Ft Collins, CO 80526

Mailing address

702 W Drake Rd
BLDG G Suite 107
Ft Collins, CO 80526
Phone (970) 493-9299

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104511COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851349971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD",
            "address_2": "BLDG G SUITE 107",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-493-9299",
            "fax_number": "970-530-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD",
            "address_2": "BLDG G SUITE 107",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-493-9299",
            "fax_number": "970-530-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "GORDAN",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "104511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.