Individual provider Active NPI

Dennis J Witt, DDS

  • General Practice Dentistry
  • W Harrison, IN
National Provider Identifier
1528027877
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007539A Issued in IN
Practice address
27345 N State St
W Harrison, IN 47060-9671
Phone
(812) 637-5647
Fax
(812) 637-5647
NPI assigned
Mar 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12007539A IN Primary

Addresses

Primary practice location

27345 N State St
W Harrison, IN 47060-9671

Mailing address

27345 N State St
W Harrison, IN 47060-9671
Phone (812) 637-5647

Other identifiers 1

IdentifierTypeStateIssuer
0447270MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150930000224 IN Order and Referring Only - DentistPractitioner - Dentist 4385952092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12007539AINMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528027877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27345 N STATE ST",
            "city": "W HARRISON",
            "state": "IN",
            "postal_code": "470609671",
            "telephone_number": "812-637-5647",
            "fax_number": "812-637-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27345 N STATE ST",
            "city": "W HARRISON",
            "state": "IN",
            "postal_code": "470609671",
            "telephone_number": "812-637-5647",
            "fax_number": "812-637-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007539A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Harrison, IN

Sources for this page

Verify at the official NPI Registry.