Active NPI
Warren Inge, DDS
- Dentist
- Covington, GA
National Provider Identifier
1073604252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012714
- Practice address
- 2579 Access Rd
Covington, GA 30016-1102 - Phone
- (770) 784-7318
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN012714 | GA | Primary |
Addresses
Primary practice location
2579 Access Rd
Covington, GA 30016-1102
Mailing address
2579 Access Rd
Covington, GA 30016-1102
Phone (770) 784-7318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151229001143 | GA | Order and Referring Only - Oral Surgery | 6204137763 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012714 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Dentures - Covington II, P.C. | Dentist | Past | Accepting new patients |
| Affordable Dentures - Covington, P.C. | Dentist | Past | 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 and National Provider Directory roles.
-
- Dentist
- Covington, GA
- NPI 1326183716
-
- Dentist
- Covington, GA
- NPI 1336443035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1073604252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2579 ACCESS RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300161102",
"telephone_number": "770-784-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2579 ACCESS RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300161102",
"telephone_number": "770-784-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGE",
"first_name": "WARREN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.