NPIMap

Organization Active NPI

R. Michael Warren, D.D.S., P.L.L.C.

  • General Practice Dentistry
  • Many, LA
National Provider Identifier
1013003243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4744 Issued in LA
Legal business name
R. MICHAEL WARREN, D.D.S., P.L.L.C.
Practice address
695 San Antonio Ave
Many, LA 71449-3018
Phone
(318) 256-3641
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Michael Warren, D.D.S.NPI 1083637185
Title
Dentist
Phone
(318) 256-3641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4744 LA Primary

Addresses

Primary practice location

695 San Antonio Ave
Many, LA 71449-3018

Mailing address

695 San Antonio Ave
Many, LA 71449-3018
Phone (318) 256-3641

Other identifiers 2

IdentifierTypeStateIssuer
717644OtherLAUNITED CONCORDIA
1847445MedicaidLA

National Provider Directory

National Provider Directory

Locations

695 San Antonio Ave
Many, LA 71449
Phone (318) 256-3641

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013003243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SAN ANTONIO AVE",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493018",
            "telephone_number": "318-256-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SAN ANTONIO AVE",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493018",
            "telephone_number": "318-256-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. MICHAEL WARREN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-256-3641",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "717644",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1847445",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Many, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.