DR. JACK RANDALL WELLS JR. DDS
NPI 1396345963
Dentist in Albuquerque, NM

Active since October 31, 2020PECOS Enrolled
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114(505) 892-9010 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 31, 2020, Nov 3, 2020, Oct 31, 2020 (3 updates tracked since 2020).

About Dr. Jack Randall Wells Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK RANDALL WELLS JR. DDS (NPI 1396345963) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (DB-2023-0092) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396345963
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK RANDALL WELLS JR.Credential: DDS
Location Address9201 EAGLE RANCH RD NWAlbuquerque, NM 87114-6440
Mailing Address1851 Steamboat Pkwy Unit 4801Reno, NV 89521-6337 · (505) 363-8031
Sole ProprietorYes
Enumeration DateOctober 31, 2020
Last NPPES UpdateOctober 1, 20233 updates tracked since enumeration
NPPES CertifiedOctober 1, 2023
NPI 1396345963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in NM · DB-2023-0092 Licensed in CO · DEN.00204532
Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7425T (NV)
9201 EAGLE RANCH RD NW, Albuquerque, NM 87114

Secondary Practice Locations 2

Location 17610 W US Highway 50Salida, CO 81201-9344 · Phone (719) 539-5440
Location 22436 S Academy BlvdColorado Springs, CO 80916-2408 · Phone (719) 391-2336

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jack Randall Wells Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114
Dentist (Orthodontics and Dentofacial Orthopedics)
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114
Dentist (General Practice)
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114
Dentist (Pediatric Dentistry)
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114
Dentist
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114
Dentist
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114
Dentist (General Practice)
9201 EAGLE RANCH RD NW
ALBUQUERQUE, NM 87114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wells's NPI number?

The NPI number for Jack Wells is 1396345963. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Where is Jack Wells located?

Jack Wells practices at 9201 Eagle Ranch Rd NW, Albuquerque, NM 87114. The listed phone number is (505) 892-9010.

What is Jack Wells's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jack Wells enrolled in Medicare?

Yes. Jack Wells is registered in the Medicare PECOS enrollment system.

What insurance does Jack Wells accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jack Wells as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Wells was last updated on October 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.