Active NPI
Warren J Krick MD PC
- Psychiatry Physician
- Brookings, OR
National Provider Identifier
1386825263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD24363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.