Active NPI
Alfred Daniel Warren III, DDS, PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenville, NC
National Provider Identifier
1447412176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3402
- Practice address
- 1909 Turnbury Dr
Greenville, NC 27858-6168 - Phone
- (252) 353-9000
- Fax
- (252) 439-1473
- NPI assigned
- Jun 25, 2008
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3402 | NC | Primary |
Addresses
Primary practice location
1909 Turnbury Dr
Greenville, NC 27858-6168
Mailing address
1909 Turnbury Dr
Greenville, NC 27858-6168
Phone (252) 353-9000
Other names 1
- Dr. Dan Warren
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3402 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. Gibson McCall, III, DDS, Ms, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenville, NC
- NPI 1326300740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1447412176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 TURNBURY DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586168",
"telephone_number": "252-353-9000",
"fax_number": "252-439-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 TURNBURY DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586168",
"telephone_number": "252-353-9000",
"fax_number": "252-439-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ALFRED",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS, PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "3402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAN",
"last_name": "WARREN",
"prefix": "DR.",
"credential": "DDS, PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.