Individual provider Active NPI

Warren J Locke, D.D.S.

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1174583207
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LA2407 Issued in ME
Practice address
622 Shadows LN
Suite D
Baton Rouge, LA 70806-6532
Phone
(225) 926-5157
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LA2407 ME Primary

Addresses

Primary practice location

622 Shadows LN
Suite D
Baton Rouge, LA 70806-6532

Mailing address

622 Shadows LN
Suite D
Baton Rouge, LA 70806-6532
Phone (225) 926-5157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20151211000177 LA Order and Referring Only - DentistPractitioner - Dentist 4486955747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2407LAMDAddiction (Substance Use Disorder) Counselor
LA2407MEMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174583207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SHADOWS LN",
            "address_2": "SUITE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066532",
            "telephone_number": "225-926-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SHADOWS LN",
            "address_2": "SUITE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066532",
            "telephone_number": "225-926-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "WARREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "LA2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.