Active NPIOrganization

Wellspace Primary Care PLLC

Family Medicine in Wellesley, Massachusetts

NPI Number1104647817
Practice location
65 Walnut St Ste 500, Wellesley, MA 02481-2112
Fax
—
Last updated
February 13, 2025

Wellspace Primary Care PLLC is a healthcare organization based in Wellesley, MA. Wellspace Primary Care PLLC practices in Wellesley, MA. The NPI Number for Wellspace Primary Care PLLC is 1104647817. The current practice location address for Wellspace Primary Care PLLC is 65 Walnut St Ste 500, Wellesley, MA 02481-2112 and can be reached out via phone at 781-304-8236.

Provider Profile Details

NPI Number
1104647817
Provider Name
Wellspace Primary Care PLLC
Provider Entity Type
Organization
Address
65 Walnut St Ste 500, Wellesley, MA 02481-2112
Phone Number
781-304-8236
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Michael David Dick, DO · Family Medicine Physician · 714-553-3887
Provider Enumeration Date
October 24, 2024
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Walnut St Ste 500
Wellesley, MA 02481-2112
Zip
02481-2112
Phone Number
781-304-8236
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
10 Cumberland RD
Belmont, MA 02478-2111
City
Belmont
State
MA
Zip
02478-2111
Phone Number
714-553-3887

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wellspace Primary Care PLLC?

The NPI number of Wellspace Primary Care PLLC is 1104647817. It was assigned on October 24, 2024 and is currently active in the NPPES registry.

What is the specialty of Wellspace Primary Care PLLC?

Wellspace Primary Care PLLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Wellspace Primary Care PLLC practice?

The practice location is 65 Walnut St Ste 500, Wellesley, MA 02481-2112. The office can be reached at 781-304-8236 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104647817 directly on the NPPES registry website.

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