Individual provider Active NPI

Robert S Warwick, DDS, PC

  • General Practice Dentistry
  • League City, TX
National Provider Identifier
1194806596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16613 Issued in TX
Practice address
1842 W Main Street
League City, TX 77573-3549
Phone
(281) 332-1512
Fax
(281) 332-4297
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16613 TX Primary

Addresses

Primary practice location

1842 W Main Street
League City, TX 77573-3549

Mailing address

1842 W Main St
League City, TX 77573-3549
Phone (281) 332-1512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200206000521 TX Order and Referring Only - DentistPractitioner - Dentist 5092141259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16613TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194806596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733549",
            "telephone_number": "281-332-1512",
            "fax_number": "281-332-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 W MAIN STREET",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733549",
            "telephone_number": "281-332-1512",
            "fax_number": "281-332-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARWICK",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.