Philip Spencer Witkin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3784 Issued in SC

Practice address

415 Robertson Blvd Ste a
Walterboro, SC 29488-5713

Phone

(843) 549-2121

Fax

(843) 549-7705

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• P. Spencer Witkin D.M.D. LLC

  • Dentist
  • Walterboro, SC
  • NPI 1932506946
  NPD (past) Authorized official
• Samuel M.Hazel, DMD LLC

  • General Practice Dentistry
  • Walterboro, SC
  • NPI 1689883662
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1962585604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD STE A",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-549-2121",
            "fax_number": "843-549-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD STE A",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-549-2121",
            "fax_number": "843-549-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKIN",
        "first_name": "PHILIP",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "993784",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrine Williams
• John Williams
• Petronia Williams
• Sylvia Joy Williams, CCC-SLP
• Melissa Wilson, LPC, BCABA
• Women's Health Specialist LLC
• Zachary Alan Woodrum, DC
• Leroy James Woods IV
• Denise Nicole Wright-Johnson
• Tina Shider Wright, PHARMD

• General Practice Dentistry in Walterboro, SC
• Providers in Walterboro, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.