Organization Active NPI

Warwick Dental Center, PLLC

  • General Practice Dentistry
  • Newport News, VA
National Provider Identifier
1194972497
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411261 Issued in VA
Legal business name
WARWICK DENTAL CENTER, PLLC
Practice address
12420 Warwick Blvd
1A
Newport News, VA 23606-3001
Phone
(757) 595-6224
Fax
(757) 595-2666
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Ms. Amy D Ford
Title
Vice President of Operations
Phone
(757) 595-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411261 VA Primary

Addresses

Primary practice location

12420 Warwick Blvd
1A
Newport News, VA 23606-3001

Mailing address

12420 Warwick Blvd
1A
Newport News, VA 23606-3001
Phone (757) 595-6224

National Provider Directory

National Provider Directory

Locations

12420 Warwick Blvd
Ste 1A
Newport News, VA 23606
Phone (757) 595-6224

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1194972497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 WARWICK BLVD",
            "address_2": "1A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063001",
            "telephone_number": "757-595-6224",
            "fax_number": "757-595-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 WARWICK BLVD",
            "address_2": "1A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063001",
            "telephone_number": "757-595-6224",
            "fax_number": "757-595-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "757-595-6224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.