Individual provider Active NPI

Thomas Paul Warner, D.D.S.

  • Dentist
  • Rochester Hills, MI
National Provider Identifier
1023137718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14479 Issued in MI
Practice address
930 W Avon Rd
Suite 14
Rochester Hills, MI 48307-2759
Phone
(248) 656-8800
Fax
(248) 656-8886
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14479 MI Primary

Addresses

Primary practice location

930 W Avon Rd
Suite 14
Rochester Hills, MI 48307-2759

Mailing address

930 W Avon Rd
Suite 14
Rochester Hills, MI 48307-2759
Phone (248) 656-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605000604 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183945918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14479MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P Warner DDS PC Past Accepting new patients
Aaron S. Johnson, D.D.S., P.C. PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023137718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W AVON RD",
            "address_2": "SUITE 14",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072759",
            "telephone_number": "248-656-8800",
            "fax_number": "248-656-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W AVON RD",
            "address_2": "SUITE 14",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072759",
            "telephone_number": "248-656-8800",
            "fax_number": "248-656-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.