JOHN CARLTON WITTENSTROM DDS
NPI 1659340503
Dentist - General Practice in Apple Valley, MN

Q: What is John Wittenstrom's NPI number?

The NPI number for John Wittenstrom is 1659340503. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is John Wittenstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Wittenstrom was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2006PECOS Enrolled

14990 GLAZIER AVE STE 100, APPLE VALLEY, MN 55124(612) 861-9123(612) 861-9155 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Carlton Wittenstrom Dds NPPES

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

JOHN CARLTON WITTENSTROM DDS (NPI 1659340503) is an individual general practice provider in Apple Valley, Minnesota, licensed in Minnesota (D10082) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659340503

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJOHN CARLTON WITTENSTROMCredential: DDS

Location Address14990 GLAZIER AVE STE 100Apple Valley, MN 55124-7819

Mailing Address14990 Glazier Ave Ste 100Apple Valley, MN 55124-7819 · (952) 431-5114

Phone(612) 861-9123

Fax(612) 861-9155

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateApril 12, 2023

NPPES CertifiedApril 12, 2023

✔ NPI 1659340503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D10082

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

14990 GLAZIER AVE STE 100, Apple Valley, MN 55124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Carlton Wittenstrom 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 55124 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wittenstrom's NPI number?

The NPI number for John Wittenstrom is 1659340503. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is John Wittenstrom located?

John Wittenstrom practices at 14990 Glazier Ave Ste 100, Apple Valley, MN 55124. The listed phone number is (612) 861-9123.

What is John Wittenstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Wittenstrom enrolled in Medicare?

Yes. John Wittenstrom is registered in the Medicare PECOS enrollment system.

What insurance does John Wittenstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list John Wittenstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Wittenstrom was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.