Individual provider Active NPI

Easte Warnick, D.D.S.

  • Pediatric Dentistry
  • Anchorage, AK
National Provider Identifier
1730591298
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1559 Issued in AK
Practice address
4200 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5226
Phone
(907) 562-1003
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1559 AK Primary
Pediatric Dentistry 1223P0221X DEND1559 AK

Addresses

Primary practice location

4200 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5226

Mailing address

3818 Westminster Way
Anchorage, AK 99508-4834
Phone (702) 812-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221000108 TX Practitioner - Oral Surgery 6901107739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1559AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Nov 3, 2015 Accepting new patients
Alyeska Pediatric Dentistry, LLC Pediatric Dentistry PastSince Feb 27, 2022 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1730591298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 WESTMINSTER WAY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084834",
            "telephone_number": "702-812-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-562-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNICK",
        "first_name": "EASTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "1559",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "DEND1559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.