Daniel Warren Antee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32826 Issued in TX

Practice address

102 Christie Dr
Lufkin, TX 75904-5567

Phone

(936) 634-6110

NPI assigned

Nov 6, 2014

Last updated

Jan 5, 2021By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Oct 24, 2019 through Oct 24, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Warren Alyse Dental Group, PLLC

  • General Practice Dentistry
  • Lufkin, TX
  • NPI 1245738137
  NPD Authorized official
• Dental Center of Lufkin

  • Dentist
  • Lufkin, TX
  • NPI 1891811394
  NPD (past)
• Bluebonnet Dental Care @ Mandeville LLC

  • Dentist
  • Mandeville, LA
  • NPI 1720492291
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1710383591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045567",
            "telephone_number": "936-634-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045567",
            "telephone_number": "936-634-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTEE",
        "first_name": "DANIEL",
        "middle_name": "WARREN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lufkin, TX
• Providers in Lufkin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.