William R. Warren DDS,PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

4966 Issued in NC

Legal business name

WILLIAM R. WARREN DDS,PA

Practice address

1241 W Clemmonsville Rd
Winston Salem, NC 27127-4790

Phone

(336) 525-7470

Fax

(336) 724-1525

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Rodman Warren, DEGREE

Title

Owner

Phone

(336) 724-5055

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

William R Warren DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• William R. Warren DDS, PA

  • Dentist
  • Winston Salem, NC
  • NPI 1982009114
  NPD tax ID

Locations

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1467810143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 WEST CLEMMONSVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27127",
            "telephone_number": "336-525-7470",
            "fax_number": "336-724-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W CLEMMONSVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274790",
            "telephone_number": "336-525-7470",
            "fax_number": "336-724-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. WARREN DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RODMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-724-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DEGREE"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7998929",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William a Brady MD PA
• William Bell Group Home for Boys
• William Bell Group Home for Boys
• William Bell Group Home for Boys
• William R. Warren DDS, PA
• William Y. Carlton (Winston Clinical Associates)
• Williams Eye Associates, OD, PLLC
• Williams Familly Care
• Williams Family Care 3
• Gail Williams-Booker, FNP-C

• Exclusive Provider Organization in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.