Jeffrey S. Withuski & Paula Sabbe DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JEFFREY S. WITHUSKI & PAULA SABBE DDS

Practice address

103 9TH St N Ste 2
Wahpeton, ND 58075-4343

Phone

(701) 642-8566

Fax

(701) 642-1111

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Withuski, DDS

Title

Owner

Phone

(701) 642-8566

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Foley, DDS

  • Dentist
  • Wahpeton, ND
  • NPI 1558251058
  NPD (past)
• Mason T Haley, DDS

  • Dentist
  • Wahpeton, ND
  • NPI 1316695679
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1154585594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 9TH ST N STE 2",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754343",
            "telephone_number": "701-642-8566",
            "fax_number": "701-642-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 9TH ST N STE 2",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754343",
            "telephone_number": "701-642-8566",
            "fax_number": "701-642-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. WITHUSKI & PAULA SABBE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WITHUSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-642-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41107",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA MEDICAL ASSISTANCE",
            "identifier": "984022200",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innovis Health, LLC
• Innovis Health, LLC.
• Mary Isom, PA-C
• Michael D Jacklitch, D.C.
• Elley Jaskowski
• Bonita J Jenzen, APRN,CNP
• Erin Nicole Jirak, PA-C
• Daniel William Johnson, DPT
• McKenzie Paige Johnson, OTA
• Wyman A Jorgenson, OD

• Dentist in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.