Active NPI
Gregory J. Wittig, D.D.S.
- Dentist
- Knox, IN
National Provider Identifier
1841364429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12007915A
- Practice address
- 1800 S. U.S. 35
Knox, IN 46534-0152 - Phone
- (574) 772-3666
- Fax
- (574) 772-5643
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12007915A | IN | Primary |
Addresses
Primary practice location
1800 S. U.S. 35
Knox, IN 46534-0152
Mailing address
PO Box 152
Knox, IN 46534-0152
Phone (574) 772-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badell Dental Clinic LLC | Current | Accepting new patients | |
| Starke County Family Dentistry | Past | Accepting new patients |
Locations
1800 S US Highway 35
Knox, IN 46534
Phone (574) 248-0456
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Knox, IN
- NPI 1295464782
-
- Dental Clinic/Center
- Knox, IN
- NPI 1023721172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841364429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152",
"city": "KNOX",
"state": "IN",
"postal_code": "465340152",
"telephone_number": "574-772-3666",
"fax_number": "574-772-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S. U.S. 35",
"city": "KNOX",
"state": "IN",
"postal_code": "465340152",
"telephone_number": "574-772-3666",
"fax_number": "574-772-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTIG",
"first_name": "GREGORY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12007915A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knox, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.