Individual provider Active NPI

Matthew Edward Warnock, DDS

  • General Practice Dentistry
  • Morgan Hill, CA
National Provider Identifier
1336507797
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100843 Issued in CA
Practice address
16985 Monterey Rd
300A
Morgan Hill, CA 95037-5116
Phone
(408) 778-8555
Fax
(408) 778-8558
NPI assigned
Feb 1, 2016
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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 100843 CA Primary

Addresses

Primary practice location

16985 Monterey Rd
300A
Morgan Hill, CA 95037-5116

Mailing address

16985 Monterey Rd.
300A
Morgan Hill, CA 95037-9677
Phone (408) 778-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100843CAMDGeneral Practice Dentistry

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1336507797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16985 MONTEREY RD.",
            "address_2": "300A",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379677",
            "telephone_number": "408-778-8555",
            "fax_number": "408-778-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16985 MONTEREY RD",
            "address_2": "300A",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375116",
            "telephone_number": "408-778-8555",
            "fax_number": "408-778-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.