Individual provider Active NPI

Morris R. Bitzer, DDS

  • General Practice Dentistry
  • Haubstadt, IN
National Provider Identifier
1619925864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9108 Issued in IN
Practice address
301 E Plum St
Haubstadt, IN 47639-8208
Phone
(812) 768-6700
Fax
(812) 768-6788
NPI assigned
May 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9108 IN Primary

Addresses

Primary practice location

301 E Plum St
Haubstadt, IN 47639-8208

Mailing address

301 E Plum St
Haubstadt, IN 47639-8208
Phone (812) 768-6700

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
I20150506002796 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9830418235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9108INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619925864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E PLUM ST",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476398208",
            "telephone_number": "812-768-6700",
            "fax_number": "812-768-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E PLUM ST",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476398208",
            "telephone_number": "812-768-6700",
            "fax_number": "812-768-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITZER",
        "first_name": "MORRIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "9108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haubstadt, IN

Sources for this page

Verify at the official NPI Registry.