Individual provider Active NPI

Sally Ann Warren, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sherman, TX
National Provider Identifier
1285826115
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1881 Issued in TX
Practice address
2616 N Loy Lake Rd
Suite B
Sherman, TX 75090-2535
Phone
(903) 892-3889
Fax
(903) 892-3749
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1881 TX Primary

Addresses

Primary practice location

2616 N Loy Lake Rd
Suite B
Sherman, TX 75090-2535

Mailing address

2616 N Loy Lake Rd
Suite B
Sherman, TX 75090-2535
Phone (903) 892-3889

Other names 1

  • Sally Ann Martin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1881TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth D Warren DPM PLLC Foot & Ankle Surgery Current Accepting new patients

Locations

2 Berry Ct
Kennebunk, ME 04043
Phone (207) 985-8460

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1285826115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 N LOY LAKE RD",
            "address_2": "SUITE B",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902535",
            "telephone_number": "903-892-3889",
            "fax_number": "903-892-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 N LOY LAKE RD",
            "address_2": "SUITE B",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902535",
            "telephone_number": "903-892-3889",
            "fax_number": "903-892-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "MARTIN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.