John Greer Warner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104542 Issued in CO

Practice address

100 S. Ridge St.
Suite 103
Breckenridge, CO 80424

Phone

(970) 453-9615

Fax

(970) 453-2080

NPI assigned

Nov 21, 2006

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drdental PLLC

  dba Breckenridge Dental Group

  • Dentist
  • Breckenridge, CO
  • NPI 1558165308
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1891860284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804240073",
            "telephone_number": "970-453-9615",
            "fax_number": "970-453-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. RIDGE ST.",
            "address_2": "SUITE 103",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-453-9615",
            "fax_number": "970-453-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JOHN",
        "middle_name": "GREER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usacs Community Emergency Services of Colorado, Inc.
• Vail Clinic Inc (Howard Head Sports Medicine at Breckenridge)
• Vail Summit Physical Therapy LLC (Avalanche Physical Therapy)
• Vail-Summit Orthopaedics PC (Avalanche Physical Thearpy)
• Vail-Summit Orthopaedics PC (Vail Summit Physical Therapy)
• Justin Michael Welch, PT, DPT
• Michael Wiadro, L.AC
• Larry Gale Willhite, M.D.
• Alaina Carol Wischmeyer, DC
• Tori Kristine Woodward, DPT

• General Practice Dentistry in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.