DR. DONALD DAVID WELLS (NPI# 1114087491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114087491 |
| Entity Type | Individual |
| Full Name | DR. DONALD DAVID WELLS |
| Credential | DDS |
| Practice Address |
1107 Ne Burnside Rd Gresham OR 97030-5710 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 5036659616 |
| Practice Fax Number | 5036660852 |
| Mailing Telephone | 5039522164 |
| Mailing Fax Number | 5035264418 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8498 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275603185 | Donald L. Wells | Social Worker | 19709 Pricetown Ave, Carson, CA 90746-3129 | 2006-11-08 |
| 1669557005 | Donald Grayson Wells | Dentist | 108 Plaza Drive, Lawrenceburg, KY 40342-9032 | 2006-10-26 |
| 1073532164 | Donald W Wells | Dentist | 110 Regent Ct, State College, PA 16801-7966 | 2006-07-19 |
| 1700343613 | Donald Andrew Wells | Registered Nurse | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2019-02-27 |
| 1710489711 | Donald Wells | Licensed Practical Nurse | 330 Sw Oakley Ave, Topeka, KS 66606-1995 | 2018-03-06 |
| 1730348277 | Donald Wells | Physical Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-06-09 |
| 1629020029 | Donald T Wells | Pediatrics | 1301 Barbara Jordan Blvd Ste 401, Austin, TX 78723-3078 | 2006-05-16 |
| 1154321305 | Donald Brandon Wells | Specialist/Technologist | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2005-07-29 |
| Street Address |
1107 NE BURNSIDE RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288174 | Sheida Kharrazi | Dentist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2005-07-11 |
| 1427401322 | Daryl Khaw | Dentist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2016-07-15 |
| 1215389960 | Jennifer Nguyen | Dentist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2016-07-06 |
| 1962820019 | Veronica Mendez Hernandez | Dental Hygienist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2014-04-04 |
| 1649692450 | Willamette | Dentist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2014-01-13 |
| 1134551229 | Kayla Soto | Dental Hygienist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2013-07-31 |
| 1841632890 | Karen Annette Waters | Dental Hygienist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2013-07-18 |
| 1124460241 | April Holly Tovar | Dental Hygienist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2013-07-18 |
| 1851679948 | Kyle Thames | Dentist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2011-07-25 |
| 1386875805 | Chad Jason Fife | Dentist | 1107 Ne Burnside Rd, Gresham, OR 97030-5710 | 2009-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083062020 | Nhu Nguyen | Dentist | 315 Nw Burnside Rd, Gresham, OR 97030-3851 | 2016-06-01 |
| 1013321587 | Matthew Vogel | Dentist | 1201 Se 223rd Ave Ste 140, Gresham, OR 97030 | 2014-06-12 |
| 1164680047 | Kurt David Fuerstenau | Dentist | 1605 Sw Walters Dr, Gresham, OR 97080-9355 | 2008-05-28 |
| 1750587085 | Gary Stewart Cooke | Dentist | 490 E Powell Blvd, Gresham, OR 97030-7610 | 2007-06-24 |
| 1073730784 | Bradley Fuller | Dentist | 2458 Se Burnside Rd, Gresham, OR 97080-1247 | 2007-04-20 |
| 1578689659 | Paynter Family Dentistry, PC | Dentist | 445 W Powell Blvd, Gresham, OR 97030-7048 | 2007-03-21 |
| 1285795690 | Vicki J Reichlein | Dentist | 2039 Ne Burnside Rd, Gresham, OR 97030-7998 | 2006-12-12 |
| 1982772026 | Cristina Pellicano Kennedy | Dentist | 501 Ne Hood Ave Ste 235, Gresham, OR 97030-7346 | 2006-11-30 |
| 1720159221 | Raymond Shigeuki Onchi | Dentist | 35 Ne Kelly Ave, Gresham, OR 97030-7539 | 2006-11-13 |
| 1598854929 | Dmitri Vladislavovich Aleksandrov | Dentist | 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 | 2006-10-12 |
| Find all providers in GRESHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.