Andrew D Welles, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1001099-15 Issued in WI

Practice address

8055 Meadow Rock Dr
Weston, WI 54476-5233

Phone

(715) 241-6800

NPI assigned

Mar 27, 2015

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sleep Health Wisconsin LLC

  dba Aaron Bushong DDS

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
  • NPI 1427762533

  Dentist

  NPD (past)

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1891189759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MEADOW ROCK DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765233",
            "telephone_number": "715-574-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 MEADOW ROCK DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765233",
            "telephone_number": "715-241-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLES",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001099-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna G. Waterlander, CRNA
• James Stewart Watson III, M.D.
• Kristi Lynn Watters, P.T.A.
• Brian Weiland, PSY.D.
• Andrew J Weizenicker, OT
• Kathryn Wesenberg, PT, DPT
• Ellen J Westdorp, M.D.
• Weston Family Dental SC
• Weston Physical Therapy and Sports Rehab, LLC
• Weston Smiles LLC

• Dentist in Weston, WI
• Providers in Weston, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.