Organization Active NPI

David D Witschen D.D.S. PA

  • Dentist
  • Virginia, MN
National Provider Identifier
1417767922
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVID D WITSCHEN D.D.S. PA
Practice address
710 9TH St N
Virginia, MN 55792-2322
Phone
(218) 741-5070
Fax
(218) 293-6002
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. David D Witschen, DDSNPI 1790735512
Title
President
Phone
(218) 741-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

710 9TH St N
Virginia, MN 55792-2322

Mailing address

710 9TH St N
Virginia, MN 55792-2322
Phone (218) 741-5070

National Provider Directory

National Provider Directory

Locations

710 9th St N
Virginia, MN 55792
Phone (218) 741-5070

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1417767922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922322",
            "telephone_number": "218-741-5070",
            "fax_number": "218-293-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922322",
            "telephone_number": "218-741-5070",
            "fax_number": "218-293-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D WITSCHEN D.D.S. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "WITSCHEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-741-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.