Individual provider Active NPI

Warren F Gabaree Jr., DDS, MED

  • General Practice Dentistry
  • Jacksonville, NC
National Provider Identifier
1710965744
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10930 Issued in NC
Practice address
444 Western Blvd
Jacksonville, NC 28546-6816
Phone
(910) 938-6271
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10930 NC Primary

Addresses

Primary practice location

444 Western Blvd
Jacksonville, NC 28546-6816

Mailing address

301 Saint Charles LN
Jacksonville, NC 28546-5286
Phone (910) 219-3886

Other practice location 1

3445 Henderson Dr
Jacksonville, NC 28546-5233
Phone (910) 347-1283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813002947 NC Practitioner - Dentist 3971999301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
10930NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Jul 1, 2024 Accepting new patients
East Carolina University CurrentSince Jul 1, 2024 Accepting new patients
East Carolina University Current Accepting new patients
Thomas E & Kimberly M Morgan DDS PA General Practice Past Accepting new patients
Blatchley Dental Corporation General Practice Past Accepting new patients
Lane and Associates Xliii DDS PA General Practice PastSince Jan 1, 2022 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1710965744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT CHARLES LN",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465286",
            "telephone_number": "910-219-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466816",
            "telephone_number": "910-938-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Henderson Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465233",
            "country_code": "US",
            "telephone_number": "910-347-1283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABAREE",
        "first_name": "WARREN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.