Active NPI
Warren Amedeo Lawson, DDS, MSD
- Endodontics
- Columbia, MO
National Provider Identifier
1285760686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2000154985
- Practice address
- 601 W Nifong Blvd Ste 4B
Columbia, MO 65203-6804 - Phone
- (576) 256-2121
- Fax
- (573) 256-4429
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2000154985 | MO | Primary |
Addresses
Primary practice location
601 W Nifong Blvd Ste 4B
Columbia, MO 65203-6804
Mailing address
601 W Nifong Blvd Ste 4B
Columbia, MO 65203-6804
Phone (573) 445-3266
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000154985 | MO | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1285760686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W NIFONG BLVD STE 4B",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036804",
"telephone_number": "573-445-3266",
"fax_number": "573-256-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W NIFONG BLVD STE 4B",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036804",
"telephone_number": "576-256-2121",
"fax_number": "573-256-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "WARREN",
"middle_name": "AMEDEO",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "2000154985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.