Nicholas Nakarin Warounthorn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107762 Issued in CA

Practice address

11346 Mountain View Ave Ste D
Loma Linda, CA 92354-3833

Phone

(909) 796-0099

NPI assigned

Aug 24, 2022

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

Medicare enrollment (NPD)

Not enrolled

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.

• Emil Zakhary DDS Inc

  • General Practice Dentistry
  • Victorville, CA
  • NPI 1497876866
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1528787348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14689 VALLEY CENTER DR STE E101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954200",
            "telephone_number": "760-245-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 MOUNTAIN VIEW AVE STE D",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543833",
            "telephone_number": "909-796-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14689 Valley Center Dr Ste E101",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923954200",
            "country_code": "US",
            "telephone_number": "760-245-0151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAROUNTHORN",
        "first_name": "NICHOLAS",
        "middle_name": "NAKARIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Aaron Ward, MD
• Abigail Ware, MD
• Carter M Ware, MD
• Rachelle Elene Wareham, MD
• Stacey Warner
• Joshua Douglas Warr, PA-C
• Patrick Ryan Warr, DO
• Janelle Marie Warren, NP
• Tara Wasemiller, DDS
• Kaitlyn Amalia Wasli, MD

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.