Active NPI
Robert L Warren Sr., DDS
- Dentist
- Tulsa, OK
National Provider Identifier
1508876178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4146
- Practice address
- 6801 E Admiral PL
Tulsa, OK 74115-8707 - Phone
- (918) 836-8366
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4146 | OK | Primary |
Addresses
Primary practice location
6801 E Admiral PL
Tulsa, OK 74115-8707
Mailing address
6801 E Admiral PL
Tulsa, OK 74115-8707
Phone (918) 836-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100134370A | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4146 | OK | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1508876178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 E ADMIRAL PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741158707",
"telephone_number": "918-836-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 E ADMIRAL PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741158707",
"telephone_number": "918-836-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "4146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100134370A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.