Individual provider Active NPI

Mark Steven Wells, DC

  • Chiropractor
  • Silver Spring, MD
National Provider Identifier
1922124346
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01673 Issued in MD
Practice address
12200 Tech Rd Ste 102
Silver Spring, MD 20904-7871
Phone
(301) 572-1655
Fax
(301) 572-1656
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01673 MD Primary

Addresses

Primary practice location

12200 Tech Rd Ste 102
Silver Spring, MD 20904-7871

Mailing address

12200 Tech Rd Ste 102
Silver Spring, MD 20904-7871
Phone (301) 572-1655

Other identifiers 3

IdentifierTypeStateIssuer
522070500OtherFEIN
KD46OtherMDCAREFIRST MD
F085 0001OtherMDCAREFIRST NCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000102 DC Practitioner - Chiropractic 9739258302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12200 Tech Rd
Suite 102
Silver Spring, MD 20904-7871
Phone (301) 572-1655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1673MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Wells DC PA Chiropractor CurrentSince Nov 14, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11615 Beltsville Dr
Beltsville, MD 20705
Phone (301) 572-1655

12200 Tech Rd
Ste 102
Silver Spring, MD 20904
Phone (301) 572-1655

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1922124346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047871",
            "telephone_number": "301-572-1655",
            "fax_number": "301-572-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047871",
            "telephone_number": "301-572-1655",
            "fax_number": "301-572-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "522070500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "KD46",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA",
            "identifier": "F085 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.