Elizabeth Reid Patrick Warren, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8130 Issued in SC

Practice address

124 N Congress St
Winnsboro, SC 29180-1119

Phone

(803) 635-6162

Fax

(803) 635-1780

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Philip C. Wilkins, DMD, PC

  • General Practice Dentistry
  • Winnsboro, SC
  • NPI 1508982281

  General Practice

  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1093063463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N CONGRESS ST",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291801119",
            "telephone_number": "803-635-6162",
            "fax_number": "803-635-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N CONGRESS ST",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291801119",
            "telephone_number": "803-635-6162",
            "fax_number": "803-635-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ELIZABETH",
        "middle_name": "REID PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Community Health Foundation of Fairfield County
• Tara Tolbert
• Trans-Med Services, Inc.
• Marianna Cristina Wagner, PHARMD
• Shelia Walker
• Gordon Reese Weigle II, M.D.
• Tracey F Whetstone, LMSW,DSW
• Kylie Anna Whittle, MD
• Marianna Wilbur, PHARMD
• Philip Charles Wilkins Sr., D.M.D.

• All providers in Winnsboro, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.

Verify at the official NPI Registry.