Richard Eugene Warner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ2611 Issued in AZ

Practice address

9179 W Thunderbird Rd
Ste. B-107
Peoria, AZ 85381-4875

Phone

(623) 933-6010

Fax

(623) 933-6523

NPI assigned

Nov 10, 2006

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 AZ

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313798400000",
    "number": "1023189305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "STE. B-107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814875",
            "telephone_number": "623-933-6010",
            "fax_number": "623-933-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "STE. B-107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814875",
            "telephone_number": "623-933-6010",
            "fax_number": "623-933-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn A Wanderer-Potter, PA-C
• Li Wang
• Ping Y Wang, MD
• Wei Wang, FNP-C
• Christy Marie Ward
• Kathryn Ann Warren, NONE
• Chelsea Warshaw
• Travis Hamilton Waschek, FNP-C
• Camille Wasden, NP
• Phillip G Washington, LMT

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; 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.