Individual provider Active NPI

Edward L Witek Jr., DMD

  • General Practice Dentistry
  • Uniontown, PA
National Provider Identifier
1649321027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020660-L Issued in PA
Practice address
7829 National Pike
Suite 1
Uniontown, PA 15401-5104
Phone
(724) 439-1616
Fax
(724) 439-8782
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
Yes

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 DS020660-L PA Primary

Addresses

Primary practice location

7829 National Pike
Suite 1
Uniontown, PA 15401-5104

Mailing address

7829 National Pike
Suite 1
Uniontown, PA 15401-5104
Phone (724) 439-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111117000357 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901070549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS020660-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649321027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 NATIONAL PIKE",
            "address_2": "SUITE 1",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015104",
            "telephone_number": "724-439-1616",
            "fax_number": "724-439-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 NATIONAL PIKE",
            "address_2": "SUITE 1",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015104",
            "telephone_number": "724-439-1616",
            "fax_number": "724-439-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020660-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.