Active NPI
Madyson Warren, DMD
- Dentist
- Bowling Green, OH
National Provider Identifier
1114610573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.027156
- Practice address
- 990 W Poe Rd
Bowling Green, OH 43402-1439 - Phone
- (419) 807-8253
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 30.027156 | OH | Primary |
Addresses
Primary practice location
990 W Poe Rd
Bowling Green, OH 43402-1439
Mailing address
1886 N Raisinville Rd
Monroe, MI 48162-9667
Phone (606) 344-8840
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.027156 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1114610573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1886 N RAISINVILLE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481629667",
"telephone_number": "606-344-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W POE RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434021439",
"telephone_number": "419-807-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "MADYSON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.027156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.