Active NPI
Larry Christopher Warren, H.I.S
- Hearing Instrument Specialist
- Dexter, MO
National Provider Identifier
1710163704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2007038593
- Practice address
- 2106 N Outer Rd
Suite D
Dexter, MO 63841-8482 - Phone
- (573) 624-6214
- Fax
- (573) 624-2202
- NPI assigned
- Jan 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2007038593 | MO | Primary |
Addresses
Primary practice location
2106 N Outer Rd
Suite D
Dexter, MO 63841-8482
Mailing address
PO Box 445
Suite D
Dexter, MO 63841-0445
Phone (573) 624-6214
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 |
|---|---|---|---|
| 2007038593 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Larry Warren | Hearing Instrument Specialist | 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 and National Provider Directory roles.
-
- Hearing Instrument Specialist
- Dexter, MO
- NPI 1275651655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1710163704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"address_2": "SUITE D",
"city": "DEXTER",
"state": "MO",
"postal_code": "638410445",
"telephone_number": "573-624-6214",
"fax_number": "573-624-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 N OUTER RD",
"address_2": "SUITE D",
"city": "DEXTER",
"state": "MO",
"postal_code": "638418482",
"telephone_number": "573-624-6214",
"fax_number": "573-624-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "LARRY",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "H.I.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-21",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "2007038593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.