Individual provider Active NPI

Callum Waring, DMD

  • General Practice Dentistry
  • Weatherford, OK
National Provider Identifier
1053150862
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7828 Issued in OK
Practice address
1301 E Main St Ste a
Weatherford, OK 73096-5779
Phone
(580) 772-7747
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7828 OK Primary

Addresses

Primary practice location

1301 E Main St Ste a
Weatherford, OK 73096-5779

Mailing address

1301 E Main St Ste a
Weatherford, OK 73096-5779
Phone (580) 772-7747

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL weatherforddds.com Direct Weatherford Dentistry & Braces

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

LicenseStateTypeSpecialty
7828OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Weatherford Dentistry & Braces CurrentSince May 26, 2024 Accepting new patients

Locations

1301 E Main St
Ste A
Weatherford, OK 73096
Phone (580) 772-7747

Organizations & group practices 1

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1053150862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST STE A",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965779",
            "telephone_number": "580-772-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST STE A",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965779",
            "telephone_number": "580-772-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARING",
        "first_name": "CALLUM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "weatherforddds.com",
            "affiliation": "Y",
            "endpointDescription": "weatherforddds.com",
            "affiliationName": "Weatherford Dentistry & Braces",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 E Main St Ste A",
            "city": "Weatherford",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730965779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.