Individual provider Active NPI

Andrew N Bitter, DDS

  • General Practice Dentistry
  • Orem, UT
National Provider Identifier
1326348046
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6665-15 Issued in WI
Practice address
1943 N State St
Orem, UT 84057-2028
Phone
(801) 226-0441
Fax
(801) 226-4754
NPI assigned
Oct 27, 2010
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9158504 UT
General Practice Dentistry 1223G0001X 6665-15 WI Primary

Addresses

Primary practice location

1943 N State St
Orem, UT 84057-2028

Mailing address

1943 N State St
Orem, UT 84057-2028
Phone (801) 226-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20120719000195 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567628589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9158504UTMDGeneral Practice Dentistry
6665-15WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1326348046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572028",
            "telephone_number": "801-226-0441",
            "fax_number": "801-226-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572028",
            "telephone_number": "801-226-0441",
            "fax_number": "801-226-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTER",
        "first_name": "ANDREW",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9158504",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6665-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.