Michael G Warren, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007305A Issued in IN

Practice address

7120 S US Highway 231
Huntingburg, IN 47542-9319

Phone

(812) 683-2431

Fax

(812) 683-4603

NPI assigned

Aug 25, 2006

Last updated

Dec 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Center P.C.

  • General Practice Dentistry
  • Huntingburg, IN
  • NPI 1861500423
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1124135900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475420143",
            "telephone_number": "812-683-2431",
            "fax_number": "812-683-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 S US HIGHWAY 231",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429319",
            "telephone_number": "812-683-2431",
            "fax_number": "812-683-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007305A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S SPECIAL HEALTH",
            "identifier": "200130",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108820A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "612224",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troutman Family Dentistry
• Kenneth R Troutman, D.D.S.
• Timothy Harreld Troutman Jr., OD
• Brian M Wagner, DDS
• Lee B Walden, DC
• Wellness Center of Indiana LLC
• Samantha Wendholt, PHARMD
• Shannon Elisa Wood, D.D.S.

• General Practice Dentistry in Huntingburg, IN
• Providers in Huntingburg, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.