Anna Jose Warnock, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

021395 Issued in OH

Practice address

3775 Central Ave.
Shadyside, OH 43947

Phone

(740) 676-2604

Fax

(740) 325-1869

NPI assigned

Jan 30, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Anna Christina Jose Former name

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Complete Dental Care of Shadyside

  • Dentist
  • Shadyside, OH
  • NPI 1609323831
  NPD (past)
• Professional Dental Alliance of Shadyside, LLC

  • Dentist
  • Shadyside, OH
  • NPI 1124589585
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194796946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 CENTRAL AVE.",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "43947",
            "telephone_number": "740-676-2604",
            "fax_number": "740-325-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 CENTRAL AVE.",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "43947",
            "telephone_number": "740-676-2604",
            "fax_number": "740-325-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "ANNA",
        "middle_name": "JOSE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "2330089",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "021395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2570016",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JOSE",
            "middle_name": "CHRISTINA",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Shallcross
• Southeast Inc (Southeast Healthcare)
• Stephanie Lynn Strope, MSW, LGSW
• Melinda Ann Turner
• Lindsay Twarog, NP-C
• Wheeling Hospital Inc (Shadyside Health Center)
• Wheeling Hospital, Inc.
• Willow Path Counseling, LLC
• Tari Wilson
• Albert James Wizba, L.AC.

• Dentist in Shadyside, OH
• Providers in Shadyside, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.