Organization Active NPI

Carli Warden, DDS, PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1255087888
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CARLI WARDEN, DDS, PLLC
Doing business as
Luminous Dental
Practice address
3315 Springbank LN Ste 200
Charlotte, NC 28226-3198
Phone
(980) 423-1145
Fax
(980) 423-1146
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Dr. Carli Warden, DDSNPI 1861877235
Title
Owner/Dentist
Phone
(980) 423-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3315 Springbank LN Ste 200
Charlotte, NC 28226-3198

Mailing address

400 E Stonewall St Unit 1301
Charlotte, NC 28202-3630
Phone (757) 816-5171

Other names 1

  • Luminous Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1255087888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E STONEWALL ST UNIT 1301",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023630",
            "telephone_number": "757-816-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263198",
            "telephone_number": "980-423-1145",
            "fax_number": "980-423-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLI WARDEN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "CARLI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "980-423-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminous Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.