Irving Witonsky, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS019451L Issued in PA

Practice address

439 Spring St
Houtzdale, PA 16651-1702

Phone

(814) 378-7006

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 PA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pierre Boumerhi DMD LLC

  • Dentist
  • Houtzdale, PA
  • NPI 1043494255
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1366697146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 ZION RD",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239138",
            "telephone_number": "570-220-0188",
            "fax_number": "814-355-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SPRING ST",
            "city": "HOUTZDALE",
            "state": "PA",
            "postal_code": "166511702",
            "telephone_number": "814-378-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITONSKY",
        "first_name": "IRVING",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019451L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Randolph
• Anthony F Shedlock, DO
• John Joseph Shedlock, O.D.
• Robin L Tate, OT
• Tyrone Hospital (Penn Highlands Tyrone)
• Lisa A Woods, LCSW
• Michael L Zalno, ATC

• Dentist in Houtzdale, PA
• Providers in Houtzdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.