DR. KIRK O. WELLS (NPI# 1407980287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407980287 |
| Entity Type | Individual |
| Full Name | DR. KIRK O. WELLS |
| Credential | D.D.S. |
| Practice Address |
109 Highway 52 E Ste A Portland TN 37148-1459 |
| Practice Telephone | 6153256902 |
| Mailing Telephone | 6153256902 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS4337TN | TN | Dental Providers |
| Street Address |
109 HIGHWAY 52 E STE A |
| City | PORTLAND |
| State | TN |
| Zip Code | 37148-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1487903696 | Jennifer Leigh Toney | Registered Nurse | 101 Maurice Ct, Portland, TN 37148 | 2012-09-04 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1003090036 | State of Tennessee | Public Health or Welfare | 214 West Longview Drive, Portland, TN 37148 | 2007-12-27 |
| 1437256930 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 A S Broadway Ste A, Portland, TN 37148 | 2006-09-20 |
| 1568494243 | Melissa R Cook | Nurse Practitioner | 932-b South Broadway, Portland, TN 37148 | 2006-07-06 |
| 1225200306 | Lisa Nazarenus | Nurse Practitioner | 307 S Broadway, Portland, TN 37148 | 2008-03-28 |
| 1770523748 | Jason A Bruns | Physical Therapist | 121 Village Dr, 103, Portland, TN 37148 | 2006-06-07 |
| 1841350196 | Edward Freeman Kirkpatrick Jr. | Dentist | 307 Reed St, Portland, TN 37148-0410 | 2006-12-09 |
| Find all providers in zip 37148 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1255975561 | Michigan Sleep Solutions LLC | Dentist | 8037 Abbey Rd., Portland, MI 48875-9774 | 2019-10-30 |
| 1073162699 | Ryan Douglas Mccormick | Dentist | 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 | 2019-09-06 |
| 1255989497 | Owen Ritter Lund | Dentist | 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 | 2019-08-30 |
| 1023663119 | Xiaochen Zhou | Dentist | 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 | 2019-08-06 |
| 1598223919 | Portland Modern Dentistry | Dentist | 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 | 2019-03-05 |
| 1922571942 | Rashmi, LLC | Dentist | 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 | 2019-01-03 |
| 1053891051 | Waleed Almulla | Dentist | 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 | 2018-08-19 |
| 1558848333 | Kelsey Mcevoy | Dentist | 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 | 2018-07-24 |
| Find all providers in PORTLAND | ||||
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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.