Individual provider Active NPI

Sherylanne Donna Kay Warren, RDH, EPDH, MS

  • Dental Hygienist
  • Corning, CA
National Provider Identifier
1124596077
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
38250 Issued in CA
Practice address
740 Solano St
Corning, CA 96021-3352
Phone
(530) 690-2827
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H5044 OR
Dental Hygienist 124Q00000X 38250 CA Primary

Addresses

Primary practice location

740 Solano St
Corning, CA 96021-3352

Mailing address

2952 Lazy Creek Dr
Medford, OR 97504-8182
Phone (541) 841-7331

Other practice location 1

2952 Lazy Creek Dr
Medford, OR 97504-8182
Phone (541) 841-7331

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
H5044ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1124596077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 LAZY CREEK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048182",
            "telephone_number": "541-841-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213352",
            "telephone_number": "530-690-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2952 Lazy Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048182",
            "country_code": "US",
            "telephone_number": "541-841-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SHERYLANNE",
        "middle_name": "DONNA KAY",
        "name_prefix": "Ms.",
        "credential": "RDH, EPDH, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5044",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "38250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.