Organization Active NPI

Phil Warlick, DDS, Inc

  • General Practice Dentistry
  • Walsenburg, CO
National Provider Identifier
1275870362
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8461 Issued in CO
Legal business name
PHIL WARLICK, DDS, INC
Practice address
620 S Albert Ave
Walsenburg, CO 81089-2240
Phone
(719) 738-6446
Fax
(719) 738-3773
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Phil Warlick, DDS
Title
Owner
Phone
(719) 738-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8461 CO Primary

Addresses

Primary practice location

620 S Albert Ave
Walsenburg, CO 81089-2240

Mailing address

620 S Albert Ave
Walsenburg, CO 81089-2240
Phone (719) 738-6446

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1275870362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S ALBERT AVE",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892240",
            "telephone_number": "719-738-6446",
            "fax_number": "719-738-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S ALBERT AVE",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892240",
            "telephone_number": "719-738-6446",
            "fax_number": "719-738-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL WARLICK, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "WARLICK",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-738-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walsenburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.