Michael William Wells, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

40510 Issued in CA

Practice address

1617 Westcliff Dr
#204
Newport Beach, CA 92660-5524

Phone

(949) 764-0122

Fax

(949) 764-0131

NPI assigned

Feb 5, 2007

Reactivated

Apr 19, 2010

Sex

Female

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian Ley, D.D.S., Inc.

  • Dental Clinic/Center
  • Fullerton, CA
  • NPI 1174831788
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1891011672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR",
            "address_2": "#204",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605524",
            "telephone_number": "949-764-0122",
            "fax_number": "949-764-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR",
            "address_2": "#204",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605524",
            "telephone_number": "949-764-0122",
            "fax_number": "949-764-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1891011672",
        "last_name": "WELLS",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-04-19",
        "deactivation_date": "2010-02-08",
        "reactivation_date": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wel-Mor Psychology Group, Inc
• David Welch, PH.D.
• Erica Diane Welch, PMHNP
• Welcome in Psychology Group, Inc.
• Wellcentrex LLC
• James Robert Wendt, M.D.
• Elizabeth Zamierowski Wenger, MA, LMFT
• Wenjing Liu, M.D. Inc.
• Wensley M Keith MD PC
• Wensley M Keith MD, PC

• Dentist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.