Individual provider Active NPI

Brett Randal Warn, D.D.S.

  • Dentist
  • Lawton, OK
National Provider Identifier
1295894004
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5247 Issued in OK
Practice address
5103 NW Cache Rd
Lawton, OK 73505-3415
Phone
(580) 248-4224
Fax
(580) 248-4299
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 5247 OK
Dentist 122300000X 5247 OK Primary

Addresses

Primary practice location

5103 NW Cache Rd
Lawton, OK 73505-3415

Mailing address

5103 NW Cache Rd
Lawton, OK 73505-3415
Phone (580) 248-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20260611004433 OK Practitioner - Dentist 0941772818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Oklahoma College of Dentistry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1150 Primrose Dr
Roswell, GA 30076-4217

1325 Bridge Mill Ave
Canton, GA 30114-7762

5103 NW Cache Rd
Lawton, OK 73505-3415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5247OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Sleep Remedies PLLC Dentist CurrentSince Feb 26, 2023 Accepting new patients
Brett R. Warn, D.D.S., Inc. General Practice Past Accepting new patients

Locations

5103 NW Cache Rd
Lawton, OK 73505
Phone (580) 248-4224

Organizations & group practices 2

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1295894004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053415",
            "telephone_number": "580-248-4224",
            "fax_number": "580-248-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053415",
            "telephone_number": "580-248-4224",
            "fax_number": "580-248-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARN",
        "first_name": "BRETT",
        "middle_name": "RANDAL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5247",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.