Active NPI
Robert Warman, D.C
- Chiropractor
- Prescott Valley, AZ
National Provider Identifier
1619003233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6084
- Practice address
- 8113 E Florentine Rd
Suite B
Prescott Valley, AZ 86314-8461 - Phone
- (928) 445-4059
- Fax
- (928) 445-4319
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6084 | AZ | Primary |
Addresses
Primary practice location
8113 E Florentine Rd
Suite B
Prescott Valley, AZ 86314-8461
Mailing address
467 N Magdalena St
Dewey, AZ 86327-7220
Phone (928) 445-4059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0930190 | Other | AZ | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000821 | AZ | Practitioner - Chiropractic | 2860426426 | Practice locations: Prescott Valley, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8141 E Florentine Rd
Suite B
Prescott Valley, AZ 86314-9427
Phone (928) 445-4059
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6084 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1619003233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 N MAGDALENA ST",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863277220",
"telephone_number": "928-445-4059",
"fax_number": "928-445-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8113 E FLORENTINE RD",
"address_2": "SUITE B",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863148461",
"telephone_number": "928-445-4059",
"fax_number": "928-445-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARMAN",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "6084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0930190",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.