Organization Active NPI

John B. Witte, DDS, PC

  • Pediatric Dentistry
  • Arlington, TX
National Provider Identifier
1386899789
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13292 Issued in TX
Legal business name
JOHN B. WITTE, DDS, PC
Practice address
3035 Matlock Rd
Arlington, TX 76015-2902
Phone
(817) 784-1000
Fax
(817) 465-3632
NPI assigned
Nov 26, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Mrs. Karen C Witte
Title
Office Manager
Phone
(817) 784-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 13292 TX Primary

Addresses

Primary practice location

3035 Matlock Rd
Arlington, TX 76015-2902

Mailing address

3035 Matlock Rd
Arlington, TX 76015-2902
Phone (817) 784-1000

National Provider Directory

National Provider Directory

Locations

3035 Matlock Rd
Arlington, TX 76015
Phone (817) 784-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1386899789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152902",
            "telephone_number": "817-784-1000",
            "fax_number": "817-465-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152902",
            "telephone_number": "817-784-1000",
            "fax_number": "817-465-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. WITTE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-784-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "13292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.