David K Warner DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID K WARNER DDS PA

Practice address

1946 Wilton Dr
Wilton Manors, FL 33305-3909

Phone

(954) 565-7666

Fax

(954) 565-7414

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Chris Shultz

Title

VP Operations

Phone

(954) 821-1751

Specialties & licenses 3

Addresses

Other names 1

• Island City Smiles Doing business as

Locations

Practitioners 2

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

• Stephen Thomas Scoglio, DMD

  • General Practice Dentistry
  • Wilton Manors, FL
  • NPI 1891387296

  General Practice

  NPD
• Betty A Gottfried, D.D.S.

  • General Practice Dentistry
  • Wilton Manors, FL
  • NPI 1629153317

  General Practice

  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1245008259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333053909",
            "telephone_number": "954-565-7666",
            "fax_number": "954-565-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333053909",
            "telephone_number": "954-565-7666",
            "fax_number": "954-565-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K WARNER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "954-821-1751"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island City Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Cox, P.T.
• Nicole Ann Curry, LMHC
• Kendall D Curtis
• Constance Custer, RNFA
• Eddy Dalus, LMT
• Myron Gy'Ton Davidson, M.D.
• Kavitha Davis
• William J Davis, RPH
• Kelsey Deidrick, MD
• Shirley Carolina Delmoral, LMHC

• All providers in Wilton Manors, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.