DR. JOHN RICHARD WITTENBROOK DDS
NPI 1619192333
Dentist in Cincinnati, OH

Q: What is John Wittenbrook's NPI number?

The NPI number for John Wittenbrook is 1619192333. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is John Wittenbrook's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for John Wittenbrook was last updated on June 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2007PECOS Enrolled

3012 GLENMORE AVE, SUITE 12, CINCINNATI, OH 45238(513) 661-8509 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. John Richard Wittenbrook Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN RICHARD WITTENBROOK DDS (NPI 1619192333) is an individual dentist in Cincinnati, Ohio, licensed in Ohio (30013189) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619192333

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JOHN RICHARD WITTENBROOKCredential: DDS

Location Address3012 GLENMORE AVE, SUITE 12Cincinnati, OH 45238-2269

Mailing Address3012 Glenmore Ave, Suite 12Cincinnati, OH 45238-2269 · (513) 661-8509

Phone(513) 661-8509

Sole ProprietorYes

Enumeration DateApril 16, 2007

Last NPPES UpdateJune 14, 2026

✔ NPI 1619192333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30013189

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3012 GLENMORE AVE, Cincinnati, OH 45238

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Richard Wittenbrook Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.