Robert H Dewitt, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401006524 Issued in VA

Practice address

8310 Old Courthouse Rd Ste B
Vienna, VA 22182-3872

Phone

(703) 734-5707

Fax

(703) 734-5708

NPI assigned

May 10, 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

Enrolled in VA

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

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962616573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872",
            "telephone_number": "703-734-5707",
            "fax_number": "703-734-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872",
            "telephone_number": "703-734-5707",
            "fax_number": "703-734-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randa Ahmed Desouky
• Ann Louise Devaney, M.S.W.
• Devine Family Care Inc
• Devotion Home Healthcare Inc.
• Joseph J Devylder, DDS
• Virender Dhawer, MD
• Diane Hofstadter, LLC
• Nadda Diasti, MA, CCC-SLP, IBCLC
• Jennifer Hilario Diaz, DMD, MS
• Dina Edelbi DMD PLLC

• Dentist in Vienna, VA
• Providers in Vienna, VA by specialty
• Dentist in Virginia

• 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.
• 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.