Active NPI
Ralph Dobbie Warnock, D.M.D.
- Pediatric Dentistry
- Chapin, SC
National Provider Identifier
1841309986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- PD0589
- Practice address
- 740 Old Lexington Hwy
Chapin, SC 29036-7979 - Phone
- (803) 345-2483
- Fax
- (803) 345-3692
- NPI assigned
- Aug 30, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3635 | SC | |
| General Practice Dentistry | 1223G0001X | DN012038 | GA | |
| Pediatric Dentistry | 1223P0221X | PD0589 | SC | Primary |
| Pediatric Dentistry | 1223P0221X | DN012038 | GA |
Addresses
Primary practice location
740 Old Lexington Hwy
Chapin, SC 29036-7979
Mailing address
740 Old Lexington Hwy
Chapin, SC 29036-7979
Phone (803) 345-2483
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9582 | Medicaid | SC | |
| ZX3635 | Medicaid | SC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012038 | GA | MD | General Practice Dentistry |
| PD0589 | SC | MD | Pediatric Dentist |
| 3635 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1841309986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 OLD LEXINGTON HWY",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290367979",
"telephone_number": "803-345-2483",
"fax_number": "803-345-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 OLD LEXINGTON HWY",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290367979",
"telephone_number": "803-345-2483",
"fax_number": "803-345-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNOCK",
"first_name": "RALPH",
"middle_name": "DOBBIE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3635",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012038",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "PD0589",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN012038",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9582",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX3635",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.