Individual provider Active NPI

David Martin Witte, D.C.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1255423877
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1584 Issued in MN
Practice address
6861 Upper Afton Rd
Suite 102
Woodbury, MN 55125-4417
Phone
(651) 739-1905
Fax
(651) 738-5979
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1584 MN Primary

Addresses

Primary practice location

6861 Upper Afton Rd
Suite 102
Woodbury, MN 55125-4417

Mailing address

6861 Upper Afton Rd
Suite 102
Woodbury, MN 55125-4417
Phone (651) 739-1905

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1255423877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 UPPER AFTON RD",
            "address_2": "SUITE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254417",
            "telephone_number": "651-739-1905",
            "fax_number": "651-738-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 UPPER AFTON RD",
            "address_2": "SUITE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254417",
            "telephone_number": "651-739-1905",
            "fax_number": "651-738-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.