Bruce Carl Warber, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901010044 Issued in MI

Practice address

2150 Lake Michigan Drive NW
Grand Rapids, MI 49504

Phone

(616) 453-8211

Fax

(616) 453-3277

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lake Michigan Dental PC

  • Dentist
  • Grand Rapids, MI
  • NPI 1164548640
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598881005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LAKE MICHIGAN DRIVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044798",
            "telephone_number": "616-453-8211",
            "fax_number": "616-453-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKE MICHIGAN DRIVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49504",
            "telephone_number": "616-453-8211",
            "fax_number": "616-453-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBER",
        "first_name": "BRUCE",
        "middle_name": "CARL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Waning, LMSW
• Wank Enterprises
• Stephen Francis Wanner, D.O.
• Mabel Waqar
• Anna-Marie Warbach
• Donna Warber, PHD
• Warby Parker Inc.
• Amy Lynn Ward
• Ciera Marie Ward, PT
• Cory Ward

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.