Individual provider Active NPI

Robert Thomas Warring, D.M.D.

  • General Practice Dentistry
  • Georgetown, KY
National Provider Identifier
1235193681
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6171 Issued in KY
Practice address
120 Edwards Ave
Suite B
Georgetown, KY 40324-9740
Phone
(502) 863-1505
Fax
(502) 863-1505
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6171 KY Primary
Dentist 122300000X 6171 KY

Addresses

Primary practice location

120 Edwards Ave
Suite B
Georgetown, KY 40324-9740

Mailing address

120 Edwards Ave
Suite B
Georgetown, KY 40324-9740
Phone (502) 863-1505

Other identifiers 1

IdentifierTypeStateIssuer
60061710MedicaidKY

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

LicenseStateTypeSpecialty
6171KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1235193681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EDWARDS AVE",
            "address_2": "SUITE B",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249740",
            "telephone_number": "502-863-1505",
            "fax_number": "502-863-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EDWARDS AVE",
            "address_2": "SUITE B",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249740",
            "telephone_number": "502-863-1505",
            "fax_number": "502-863-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRING",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6171",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60061710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.