Michael Anthony Warren, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4840 Issued in AZ

Practice address

111 W Wigwam Blvd Ste a
Litchfield Park, AZ 85340-4636

Phone

(623) 935-9376

Fax

(623) 536-9884

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michael a. Warren Captial Inc

  • General Practice Dentistry
  • Litchfield Park, AZ
  • NPI 1154548469
  NPD (past) Authorized official
• Warren & Hagerman Dental PLLC

  • Dental Clinic/Center
  • Litchfield Park, AZ
  • NPI 1730863572
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1013032069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WIGWAM BLVD STE A",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404636",
            "telephone_number": "623-935-9376",
            "fax_number": "623-536-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WIGWAM BLVD STE A",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404636",
            "telephone_number": "623-935-9376",
            "fax_number": "623-536-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "T.I.N",
            "identifier": "542119479",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Danielle Walpole, FNP
• Jay Walrod, RBT
• Donna Marie Walsh Johnson, LCSW
• Gail Ward, FNP-C
• Warren & Hagerman Dental PLLC
• Reuben James Washington, M.D.,P.C.
• Mika Watanabe, PA-C
• Jennifer Webb, LPN
• Wee Care Corporation
• Jeanette Weivoda

• General Practice Dentistry in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.