Individual provider Active NPI

William Errol Dewitt, DDS

  • General Practice Dentistry
  • Elmhurst, IL
National Provider Identifier
1710015086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-16307 Issued in IL
Practice address
118 E Vallette St
Elmhurst, IL 60126-4447
Phone
(630) 279-2121
Fax
(630) 279-1363
NPI assigned
Mar 1, 2007
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 019-16307 IL Primary

Addresses

Primary practice location

118 E Vallette St
Elmhurst, IL 60126-4447

Mailing address

118 E Vallette St
Elmhurst, IL 60126-4447
Phone (630) 279-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610002336 IL Order and Referring Only - Other (Non-Physician) 8224359609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-16307ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William E. Dewitt,DDS,PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710015086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E VALLETTE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264447",
            "telephone_number": "630-279-2121",
            "fax_number": "630-279-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E VALLETTE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264447",
            "telephone_number": "630-279-2121",
            "fax_number": "630-279-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "WILLIAM",
        "middle_name": "ERROL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-16307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.