NPIMap

Organization Active NPI

Hewitt and Feltzer Dentistry Partnership

  • General Practice Dentistry
  • Mishawaka, IN
National Provider Identifier
1710024575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007801 Issued in IN
Legal business name
HEWITT AND FELTZER DENTISTRY PARTNERSHIP
Practice address
518 Lincoln Way W
Mishawaka, IN 46544-1807
Phone
(574) 255-5630
Fax
(574) 256-0323
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott D Hewitt, DDSNPI 1780710467
Title
Co-Owner
Phone
(574) 255-5630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 12007801 IN Primary

Addresses

Primary practice location

518 Lincoln Way W
Mishawaka, IN 46544-1807

Mailing address

518 Lincoln Way W
Mishawaka, IN 46544-1807
Phone (574) 255-5630

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710024575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LINCOLN WAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441807",
            "telephone_number": "574-255-5630",
            "fax_number": "574-256-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LINCOLN WAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441807",
            "telephone_number": "574-255-5630",
            "fax_number": "574-256-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEWITT AND FELTZER DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "574-255-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.