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DR. DEIDRA NICOLE WELLS DC
NPI 1811253396
Chiropractor in Clinton, MD

Active since April 09, 2012
7915 MALCOLM RD STE 103, CLINTON, MD 20735(301) 861-0839 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Nov 18, 2019 (2 updates tracked since 2019).

About Dr. Deidra Nicole Wells Dc NPPES

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

DR. DEIDRA NICOLE WELLS DC (NPI 1811253396) is an individual chiropractor in Clinton, Maryland, licensed in Maryland (S04035) and active in the NPI registry since April 2012. She maintains 2 additional practice locations and is a graduate of Life Chiropractic College (2011).

NPPES Registry Identity

NPI1811253396
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEIDRA NICOLE WELLSCredential: DC
Location Address7915 MALCOLM RD STE 103Clinton, MD 20735-1732
Mailing Address7915 Malcolm Rd Ste 103Clinton, MD 20735-1732 · (301) 861-0839
Phone(301) 861-0839
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2011
Enumeration DateApril 9, 2012
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1811253396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MD · S04035✔ Licensed in GA · CHIR008906
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7915 MALCOLM RD STE 103, Clinton, MD 20735
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Other Names 1

Former Name (1)Dr. Deidra Nicole Moody Dc

Secondary Practice Locations 2

Location 12896 Chamblee Tucker Rd Ste 4Atlanta, GA 30341-4009 · Phone (770) 457-0584
Location 26196 Oxon Hill Rd Ste 125Oxon Hill, MD 20745 · Phone (301) 753-7970

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. Deidra Nicole Wells Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779088117
PECOS Enrollment IDI20250925003091

Other Providers at the Same Location NPPES

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

CULTURE CHIROPRACTIC AND FAMILY WELLNESS CENTERS P C
Chiropractor
7915 MALCOLM RD STE 103
CLINTON, MD 20735
Prince George's County (301) 861-0839

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 Deidra Wells's NPI number?

The NPI number for Deidra Wells is 1811253396. It was assigned to this individual provider in the NPPES registry on April 9, 2012. The provider is also known as Dr. Deidra Nicole Moody Dc.

Where is Deidra Wells located?

Deidra Wells practices at 7915 Malcolm Rd Ste 103, Clinton, MD 20735. The listed phone number is (301) 861-0839.

What is Deidra Wells's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Deidra Wells enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deidra Wells was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.