Individual provider Active NPI

Dinah Waranch, CNM

  • Midwife
  • Richardson, TX
National Provider Identifier
1407813462
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
564651 Issued in TX
Practice address
304 S Cottonwood
Suite a
Richardson, TX 75080-5752
Phone
(214) 366-3579
Fax
(214) 366-3580
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X
Midwife 176B00000X 564651 TX Primary

Addresses

Primary practice location

304 S Cottonwood
Suite a
Richardson, TX 75080-5752

Mailing address

304 S Cottonwood
Suite a
Richardson, TX 75080-5752
Phone (214) 366-3579

Other identifiers 3

IdentifierTypeStateIssuer
86N885OtherTXBLUE CROSS BLUE SHIELD
80122MOtherTXMEDICARE ID
088338101MedicaidTX

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
564651TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1407813462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S COTTONWOOD",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805752",
            "telephone_number": "214-366-3579",
            "fax_number": "214-366-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S COTTONWOOD",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805752",
            "telephone_number": "214-366-3579",
            "fax_number": "214-366-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARANCH",
        "first_name": "DINAH",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "564651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86N885",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "80122M",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088338101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.