Individual provider Active NPI

Thomas Malcolm Warren, DMD

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1467456749
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3205LN Issued in AL
Practice address
2655A Old Shell Rd
Mobile, AL 36607-2929
Phone
(251) 476-2848
Fax
(251) 476-9868
NPI assigned
Jun 2, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3205LN AL Primary

Addresses

Primary practice location

2655A Old Shell Rd
Mobile, AL 36607-2929

Mailing address

2655A Old Shell Rd
Mobile, AL 36607-2929
Phone (251) 476-2848

Other identifiers 1

IdentifierTypeStateIssuer
738366OtherALUNITED CONCORDIA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3205ALMDCounselor
3205LNALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467456749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655A OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072929",
            "telephone_number": "251-476-2848",
            "fax_number": "251-476-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655A OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072929",
            "telephone_number": "251-476-2848",
            "fax_number": "251-476-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "THOMAS",
        "middle_name": "MALCOLM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3205LN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NUMBER",
            "identifier": "738366",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.