Individual provider Active NPI

Jessica Lyn Warner, DMD

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1073297321
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DB-2026-0266 Issued in NM
Practice address
2424 Louisiana Blvd NE Ste 501
Albuquerque, NM 87110-4361
Phone
(505) 348-1036
NPI assigned
Jun 14, 2023
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DB-2026-0266 NM Primary

Addresses

Primary practice location

2424 Louisiana Blvd NE Ste 501
Albuquerque, NM 87110-4361

Mailing address

2424 Louisiana Blvd NE Ste 501
Albuquerque, NM 87110-4361
Phone (505) 348-1036

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

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1073297321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 LOUISIANA BLVD NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104361",
            "telephone_number": "505-348-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 LOUISIANA BLVD NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104361",
            "telephone_number": "505-348-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DB-2026-0266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.