Active NPI
Jami Lynn Warner, DDS
- Dentist
- Atlanta, IN
National Provider Identifier
1609979061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009800
- Practice address
- 29101 St Rd 19
Atlanta, IN 46031 - Phone
- (765) 292-2366
- Fax
- (765) 292-2081
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 12009800 | IN | Primary |
Addresses
Primary practice location
29101 St Rd 19
Atlanta, IN 46031
Mailing address
PO Box 186
Atlanta, IN 46031
Phone (765) 292-2366
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 |
|---|---|---|---|
| 12009800 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Dental Clinic PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atlanta Dental Clinic
- General Practice Dentistry
- Atlanta, IN
- NPI 1790888170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609979061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "ATLANTA",
"state": "IN",
"postal_code": "46031",
"telephone_number": "765-292-2366",
"fax_number": "765-292-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29101 ST RD 19",
"city": "ATLANTA",
"state": "IN",
"postal_code": "46031",
"telephone_number": "765-292-2366",
"fax_number": "765-292-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "JAMI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, IN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.