Active NPI
Cory Warner, DDS
- General Practice Dentistry
- Rigby, ID
National Provider Identifier
1942932108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D011479
- Practice address
- 190 N 1St W
Rigby, ID 83442-1305 - Phone
- (208) 745-7424
- Fax
- (208) 545-0550
- NPI assigned
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D011479 | AZ | Primary |
| General Practice Dentistry | 1223G0001X | D5497 | ID |
Addresses
Primary practice location
190 N 1St W
Rigby, ID 83442-1305
Mailing address
432 N 3900 E
Rigby, ID 83442-5138
Phone (208) 716-0375
Other practice location 1
1801 S Ammon Rd
Ammon, ID 83406-6860
Phone (208) 528-7665
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 |
|---|---|---|---|
| D011479 | AZ | MD | General Practice Dentistry |
| D5497 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cory Warner DDS, PLLC | Current | Accepting new patients | |
| Zirker Family Dentistry | General Practice | Past | Accepting new patients |
| Zirker Family Dentistry | Past | Accepting new patients |
Locations
190 N 1st W
Rigby, ID 83442
Phone (208) 745-7424
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Rigby, ID
- NPI 1255207015
-
- General Practice Dentistry
- Ammon, ID
- NPI 1518139039
-
- Dentist
- Ammon, ID
- NPI 1790797157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1942932108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 N 3900 E",
"city": "RIGBY",
"state": "ID",
"postal_code": "834425138",
"telephone_number": "208-716-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N 1ST W",
"city": "RIGBY",
"state": "ID",
"postal_code": "834421305",
"telephone_number": "208-745-7424",
"fax_number": "208-545-0550"
}
],
"practiceLocations": [
{
"address_1": "1801 S Ammon Rd",
"address_purpose": "LOCATION",
"city": "Ammon",
"state": "ID",
"postal_code": "834066860",
"country_code": "US",
"telephone_number": "208-528-7665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARNER",
"first_name": "CORY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-27",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D011479",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D5497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.