Mark Lawrence Dewitt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

901013326 Issued in MI

Practice address

5001 W St Joe Hwy
Lansing, MI 48917-4023

Phone

(517) 323-7926

Fax

(517) 323-8986

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1962614875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174023",
            "telephone_number": "517-323-7926",
            "fax_number": "517-323-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174023",
            "telephone_number": "517-323-7926",
            "fax_number": "517-323-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "MARK",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "901013326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Devries, PA-C
• Olga Gennadyevna Dewald
• Paul N Deweese, MD
• Debbie Lee Dewey, RMA
• Maria Dewitt, LPC
• Ronald Jay Dewitt, D.D.S.
• Scott Alan Dexter, D.D.S.
• Christopher M Dhaem, DO
• Neha Dhakal, MD
• Harmeet Dhaliwal, MD

• All providers in Lansing, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.