Douglas a. Witte, DDS, Ms, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9413 Issued in TX

Legal business name

DOUGLAS A. WITTE, DDS, MS, INC.

Practice address

1029 E Idel St
Tyler, TX 75701-2025

Phone

(903) 593-9777

Fax

(903) 593-4110

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Allen Witte, DDS, MSNPI 1922400290

Title

President

Phone

(903) 593-9777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Witte, DDS MS

  • Periodontics
  • Tyler, TX
  • NPI 1922400290
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1497809099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E IDEL ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012025",
            "telephone_number": "903-593-9777",
            "fax_number": "903-593-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E IDEL ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012025",
            "telephone_number": "903-593-9777",
            "fax_number": "903-593-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. WITTE, DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-593-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "9413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myesha Doss
• Adam Patrick Dossey, M. D.
• Mallory Boteler Dougherty, M.S., CCC-SLP
• Lynsie Paige Doughten, FNP-C
• Jaye Doughtie, BCBA
• Drew Doran Douglas, O.D.
• Mona Douglas, O.D.
• Rick D Douglas, LCSW
• Tara Douglas
• Trevor Douglas

• Periodontics in Tyler, TX
• Providers in Tyler, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.