Individual provider Active NPI

Warren James Schlott, D.D.S.

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1194826867
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27683 Issued in CA
Practice address
1220 E Birch St
Suite 101
Brea, CA 92821-5155
Phone
(714) 529-5921
Fax
(714) 529-9609
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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 27683 CA Primary

Addresses

Primary practice location

1220 E Birch St
Suite 101
Brea, CA 92821-5155

Mailing address

1220 E Birch St
Suite 101
Brea, CA 92821-5155
Phone (714) 529-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150302001164 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719136407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1194826867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E BIRCH ST",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215155",
            "telephone_number": "714-529-5921",
            "fax_number": "714-529-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E BIRCH ST",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215155",
            "telephone_number": "714-529-5921",
            "fax_number": "714-529-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOTT",
        "first_name": "WARREN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.