Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jack Randall Wells , DDS

Dentist β€’ Albuquerque, NM

Active NPI 1396345963 Individual Practitioner Male Practitioner
Practice location in NPPES

9201 Eagle Ranch Rd Nw
Albuquerque, NM 871146440

Call 5058929010 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9201 Eagle Ranch Rd Nw

Albuquerque, NM 871146440

Telephone 5058929010
Organization at the Same NPPES Address or Phone
Tasker Hatch Rowan Llc Facility NPI 1033381603

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Colorado Springs, CO; Salida, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wells has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wells as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Albuquerque and New Mexico

199 active clinicians are listed under Dentist with a practice address in Albuquerque, NM (591 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Albuquerque

0% of these 199 clinicians have the CMS telehealth indicator.

0% of these 199 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES NM DB-2023-0092

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.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CO DEN.00204532

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NV 7425T

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20210225001537

Enrollment State Jurisdiction

NV

PECOS Control ID

1254746233

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7610 W Us Highway 50

Salida, CO 812019344

Phone: 7195395440

2436 S Academy Blvd

Colorado Springs, CO 809162408

Phone: 7193912336

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location October 01, 2023

Registered at 9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 871146440 (Tel: 5058929010)

🏒
Secondary Practice Location Registered October 01, 2023

Additional practice office at 7610 W US Highway 50, Salida, CO 812019344

🏒
Secondary Practice Location Registered October 01, 2023

Additional practice office at 2436 S Academy Blvd, Colorado Springs, CO 809162408

πŸ“
Updated Practice Location June 22, 2022

Registered at 2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 809162408 (Tel: 7193912336)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2022

Dentist (license number reported to NPPES: CO DEN.00204532)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2020

Dentist (license number reported to NPPES: NV 7425T)

βœ…
NPI Profile Active November 03, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 03, 2020

Registered at 6395 S MCCARRAN BLVD STE B, RENO, NV 895096101 (Tel: 7758239419)

πŸ“
Business Mailing Address (Initial Record) November 03, 2020

Registered at 1851 STEAMBOAT PKWY UNIT 4801, RENO, NV 895216337 (Tel: 5053638031)

πŸ‘€
Provider Name / Credentials (Initial Record) November 03, 2020

Recorded as JACK WELLS, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2020

Dentist (license number reported to NPPES: CO DEN.00204532)

🟒
Initial NPI Registration & Enumeration October 31, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1396345963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2020
Last Update: October 01, 2023
Sole Proprietor: Yes

Other Dentists in Albuquerque

All Dentists in Albuquerque

Mailing Address

1851 Steamboat Pkwy Unit 4801

Reno, NV 895216337

Phone: 5053638031

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.