NPIMap

Organization Active NPI

Peter Warshawsky, DDS, Inc.

  • Periodontics
  • Palm Desert, CA
National Provider Identifier
1124740832
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PETER WARSHAWSKY, DDS, INC.
Practice address
44550 Village CT Ste 102
Palm Desert, CA 92260-3817
Phone
(760) 674-4410
Fax
(760) 674-4414
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jenny Garcia-Rocha
Title
Credentialing Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

44550 Village CT Ste 102
Palm Desert, CA 92260-3817

Mailing address

44550 Village CT Ste 102
Palm Desert, CA 92260-3817
Phone (760) 674-4410

Other names 1

  • Periodontics of the Desert Doing business as

National Provider Directory

National Provider Directory

Locations

44550 Village Ct
Ste 102
Palm Desert, CA 92260
Phone (760) 674-4410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1124740832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "760-674-4410",
            "fax_number": "760-674-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "760-674-4410",
            "fax_number": "760-674-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER WARSHAWSKY, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontics of the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.