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DR. ANTON JORDAN DE WITTE MD
NPI 1922688811
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 13, 2021PECOS Enrolled
1 MEDICAL CENTER BLVD JANEWAY TOWER 7TH FLOOR, WINSTON SALEM, NC 27157(336) 713-7777(336) 716-5168 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, Aug 7, 2021, Apr 13, 2021 (3 updates tracked since 2021).

About Dr. Anton Jordan De Witte Md NPPES

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

DR. ANTON JORDAN DE WITTE MD (NPI 1922688811) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922688811
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANTON JORDAN DE WITTECredential: MD
Location Address1 MEDICAL CENTER BLVD JANEWAY TOWER 7TH FLOORWinston Salem, NC 27157-0001
Mailing AddressOne Medical Center BlvdWinston Salem, NC 27157-0001
Phone(336) 713-7777
Fax(336) 716-5168
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1922688811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL CENTER BLVD JANEWAY TOWER 7TH FLOOR, Winston Salem, NC 27157
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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. Anton Jordan De Witte Md 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.

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 Anton De Witte's NPI number?

The NPI number for Anton De Witte is 1922688811. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Anton De Witte located?

Anton De Witte practices at 1 Medical Center Blvd Janeway Tower 7th Floor, Winston Salem, NC 27157. The listed phone number is (336) 713-7777.

What is Anton De Witte's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anton De Witte enrolled in Medicare?

Yes. Anton De Witte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anton De Witte was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.