Madeline Witte, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61301646 Issued in WA

Practice address

17103 28TH Dr NE Ste 104
Marysville, WA 98271-4830

Phone

(360) 208-0492

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Seongwon Choi PLLC.

  • Endodontics
  • Marysville, WA
  • NPI 1407774490
  NPD (past)
• Washington Dental Corporation, PC

  • Dentist
  • Marysville, WA
  • NPI 1790141828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1023747144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 51ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323507",
            "telephone_number": "402-630-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17103 28TH DR NE STE 104",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714830",
            "telephone_number": "360-208-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "MADELINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61301646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Williams, SLPA
• Cassandra E Wilson
• Madison Catherine Wilson, LCSW
• Stephanie Christa Zorin Wilson, DPT
• Nicole C Winters, LICSW, PSYD
• Alemayehu Woldegeorgis
• Josephine Wong, RPH
• Andrea L Wood, P.T.
• Jessica Blake Woodard, NP-C
• Anna Woolner, M.A. SLP-CCC

• Dentist in Marysville, WA
• Providers in Marysville, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.