Organization Active NPI

Warren J Krick MD PC

  • Psychiatry Physician
  • Brookings, OR
National Provider Identifier
1386825263
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD24363 Issued in OR
Legal business name
WARREN J KRICK MD PC
Practice address
585 5TH St
Brookings, OR 97415-9702
Phone
(541) 469-5377
Fax
(541) 469-8015
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Warren J Krick, MD PC
Title
Owner
Phone
(541) 469-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD24363 OR Primary

Addresses

Primary practice location

585 5TH St
Brookings, OR 97415-9702

Mailing address

585 5TH St
Brookings, OR 97415-9702
Phone (541) 469-5377

National Provider Directory

National Provider Directory

Locations

603 Hemlock St
Ste 2D
Brookings, OR 97415
Phone (541) 412-2094

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1386825263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 5TH ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "541-469-5377",
            "fax_number": "541-469-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 5TH ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "541-469-5377",
            "fax_number": "541-469-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN J KRICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "KRICK",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-469-5377",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD24363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

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