Paul Jeffrey Warden, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS7022 Issued in TN

Practice address

1725 Medical Center Pkwy Ste 100
Murfreesboro, TN 37129-2248

Phone

(615) 893-7736

Fax

(615) 898-1771

NPI assigned

Dec 28, 2005

Last updated

Mar 7, 2023By 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 2

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 Aug 8, 2017 through Aug 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Tennessee Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Murfreesboro, TN
  • NPI 1497843270
  NPD (past)
• Middle Tennessee Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Smyrna, TN
  • NPI 1700243102
  NPD (past)
• Southern Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Murfreesboro, TN
  • NPI 1568642114
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710964127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292248",
            "telephone_number": "615-893-7736",
            "fax_number": "615-898-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292248",
            "telephone_number": "615-893-7736",
            "fax_number": "615-898-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Stonecrest Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676829",
            "country_code": "US",
            "telephone_number": "615-462-7987",
            "fax_number": "615-625-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7022",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "MD00000030933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Ward, MSW
• Indu Ward
• Kathy D. Ward
• Naudia Nashe Ward
• Lina Laroche Warden, PT
• Lita Faye Warise, APN
• Kristen Nicole-Jordan Warner, RD,LDN
• Warren Family Services, LLC (At.Home.Care)
• Amanda Lee Warren, RDH
• Amy L Warren, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.