Individual provider Active NPI

David D Warren, DDS

  • General Practice Dentistry
  • Las Cruces, NM
National Provider Identifier
1538111869
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1267 Issued in NM
Practice address
4141 Camino Coyote Ste a
Las Cruces, NM 88011-3001
Phone
(575) 524-5812
Fax
(575) 524-7710
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 1267 NM Primary

Addresses

Primary practice location

4141 Camino Coyote Ste a
Las Cruces, NM 88011-3001

Mailing address

4141 Camino Coyote Ste a
Las Cruces, NM 88011-3001
Phone (575) 524-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20170830003385 NM Order and Referring Only - DentistPractitioner - Dentist 2062782816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Warren & Law Dental, LLC General Practice Current Accepting new patients

Locations

4141 Camino Coyote
Ste A
Las Cruces, NM 88011
Phone (575) 524-5812

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1538111869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 CAMINO COYOTE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113001",
            "telephone_number": "575-524-5812",
            "fax_number": "575-524-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 CAMINO COYOTE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113001",
            "telephone_number": "575-524-5812",
            "fax_number": "575-524-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.