Active NPI
Mark A. Wittler, D.C.
- Chiropractor
- Scottsbluff, NE
National Provider Identifier
1285636589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 977
- Practice address
- 921 W 36TH St
Scottsbluff, NE 69361-5009 - Phone
- (308) 635-3001
- Fax
- (308) 633-1308
- NPI assigned
- Jun 1, 2005
- Last updated
- Sep 19, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 977 | NE | Primary |
Addresses
Primary practice location
921 W 36TH St
Scottsbluff, NE 69361-5009
Mailing address
921 W 36TH St
Scottsbluff, NE 69361-5009
Phone (308) 635-3001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47073455800 | Medicaid | NE | |
| 09694 | Other | NE | BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 977 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1285636589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W 36TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693615009",
"telephone_number": "308-635-3001",
"fax_number": "308-635-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W 36TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693615009",
"telephone_number": "308-635-3001",
"fax_number": "308-633-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTLER",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47073455800",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "09694",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.