Active NPI
Otto Ernest Witbeck, DDS
- Dentist
- Lancaster, PA
National Provider Identifier
1063545630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS021844L
- Practice address
- 1604 Columbia Ave
Lancaster, PA 17603-4529 - Phone
- (717) 392-3368
- Fax
- (717) 392-4762
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS021844L | PA | Primary |
Addresses
Primary practice location
1604 Columbia Ave
Lancaster, PA 17603-4529
Mailing address
1604 Columbia Ave
Lancaster, PA 17603-4529
Phone (717) 392-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021844L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063545630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 COLUMBIA AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034529",
"telephone_number": "717-392-3368",
"fax_number": "717-392-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 COLUMBIA AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034529",
"telephone_number": "717-392-3368",
"fax_number": "717-392-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITBECK",
"first_name": "OTTO",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS021844L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.