Peter Sol Warshawsky, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

42623 Issued in CA

Practice address

44550 Village CT
Suite 102
Palm Desert, CA 92260-3817

Phone

(760) 674-4410

Fax

(760) 674-4414

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 6, 2012 through Aug 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peter Warshawsky, DDS, Inc.

  dba Periodontics of the Desert

  • Periodontics
  • Palm Desert, CA
  • NPI 1124740832
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285855726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "760-674-4410",
            "fax_number": "760-674-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "760-674-4410",
            "fax_number": "760-674-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAWSKY",
        "first_name": "PETER",
        "middle_name": "SOL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "42623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elary Wanis
• Warby Parker Inc.
• Charlotte Wardwell
• Gabrielle Ware
• Joan Leigh Warren, M.D.
• Terra Washington, LVN
• Watermark Carlotta, LLC (The Springs at the Carlotta)
• Watermark Carlotta, LLC (The Fountains at the Carlotta)
• Daniel Loyd Watson, PH. D.
• Kailee K Watson, O.D.

• Periodontics in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.