Organization Active NPI

Warise Family Dentistry PC

  • General Practice Dentistry
  • Smyrna, TN
National Provider Identifier
1710062120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS005144 Issued in TN
Legal business name
WARISE FAMILY DENTISTRY PC
Practice address
100 Mayfield Drive
Smyrna, TN 37167-3017
Phone
(615) 459-3366
Fax
(615) 459-6545
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy R Warise, DDSNPI 1619988961
Title
Owner, Ceo
Phone
(615) 459-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS005144 TN Primary

Addresses

Primary practice location

100 Mayfield Drive
Smyrna, TN 37167-3017

Mailing address

100 Mayfield Drive
Smyrna, TN 37167-3017
Phone (615) 459-3366

National Provider Directory

National Provider Directory

Locations

100 Mayfield Dr
Smyrna, TN 37167
Phone (615) 459-3366

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710062120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAYFIELD DRIVE",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673017",
            "telephone_number": "615-459-3366",
            "fax_number": "615-459-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAYFIELD DRIVE",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673017",
            "telephone_number": "615-459-3366",
            "fax_number": "615-459-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARISE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARISE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "615-459-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS005144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.