Organization Active NPI

Jeffrey S Wittmus DDS LTD

  • Public Health Dentistry
  • Chicago, IL
National Provider Identifier
1841785375
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
JEFFREY S WITTMUS DDS LTD
Practice address
5315 N Central Ave
Chicago, IL 60630-1302
Phone
(773) 631-6060
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Jeffrey WittmusNPI 1255461042
Title
President
Phone
(773) 631-1624

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
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

5315 N Central Ave
Chicago, IL 60630-1302

Mailing address

5315 N Central Ave
Chicago, IL 60630-1302
Phone (773) 631-6060

National Provider Directory

National Provider Directory

Locations

5315 N Central Ave
Chicago, IL 60630
Phone (773) 631-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1841785375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301302",
            "telephone_number": "773-631-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301302",
            "telephone_number": "773-631-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S WITTMUS DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "WITTMUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-631-1624"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.