Ivan Machai Warner

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123493 Issued in GA

Practice address

1225 Johnson Ferry Rd Ste 660
Marietta, GA 30068-2772

Phone

(770) 973-6494

NPI assigned

Jul 5, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Christopher M Anderson DMD LLC

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1407867328
  NPD (past)
• Ga Southern Dental LLC

  • Dentist
  • Marietta, GA
  • NPI 1255285607
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1619655230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD STE 660",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682772",
            "telephone_number": "770-973-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD STE 660",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682772",
            "telephone_number": "770-973-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "IVAN",
        "middle_name": "MACHAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyn M Wardlow, PHARMD
• Alexis Marie Ware, LCSW
• Lauren Ware, DO
• Warnecke Professional Counseling, PC
• Andrew R Warnecke, L.P.C.
• Sarah Warner
• Scott D Warner, DC
• Adrienne Warren, LPC
• James E. Warren, MD
• Malcolm Warren Jr., D.C.

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.