Warner DDS Boardwalk PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WARNER DDS BOARDWALK PC

Practice address

950 Boardwalk Ste 102
San Marcos, CA 92078

Phone

(760) 942-1570

Fax

(760) 436-1388

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Douglas D Warner, DDSNPI 1427215656

Title

Owner

Phone

(760) 942-1570

Specialties & licenses 1

Addresses

Other names 1

• Warner Pediatric Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas D Warner, D.D.S M.S

  • Pediatric Dentistry
  • Encinitas, CA
  • NPI 1427215656
  NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1710697347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BOARDWALK STE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92078",
            "telephone_number": "760-942-1570",
            "fax_number": "760-436-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BOARDWALK STE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92078",
            "telephone_number": "760-942-1570",
            "fax_number": "760-436-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER DDS BOARDWALK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-942-1570",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warner Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ying Wang
• Lubna Bashir Waraich, LMFT
• Arianna Ward
• Chara Matsuo Ward, LCSW
• Kimberly Grace Ward, LVN
• Sharlyn Michelle Warner
• Zoe Washington
• Ted Wassel, D.D.S.
• Crystal Waterman
• Amy Kristen Watson, IBCLC

• Pediatric Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.