Robert Cameron Witt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17306 Issued in NJ

Practice address

206 Meadow Mountain Drive
Waco, TX 76712

Phone

(908) 507-4487

Fax

(908) 766-5604

NPI assigned

May 27, 2005

Sex

Male

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 TX

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

Locations

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.

• Longview Wellness Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1942269493

  General Practice

  Medicare reassignment NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1255137659
  NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1558957662
  NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1447910542
  NPD (past)
• Joyce S Kurdian DMD LLC

  • General Practice Dentistry
  • Basking Ridge, NJ
  • NPI 1396187761
  NPD (past)
• Sam S. Faltas, DDS LLC

  • General Practice Dentistry
  • Basking Ridge, NJ
  • NPI 1215150446
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1326041815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MEADOW MOUNTAIN DRIVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "908-507-4487",
            "fax_number": "908-766-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MEADOW MOUNTAIN DRIVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "908-507-4487",
            "fax_number": "908-766-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "ROBERT",
        "middle_name": "CAMERON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Michele Winarick, D.D.S.
• Mark Wade Wingate, DDS
• Charlene Winston
• Aaron Wise, MD
• Faith Nicole Witt, BT
• Shaniece Denise Witte, PT, DPT
• Grace Wittmann
• Rebecca Leann Wittner, DPT
• Morgan Wofford, OTR/L
• Nathaniel James Wofford

• General Practice Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.