Warren & Hagerman Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WARREN & HAGERMAN DENTAL PLLC

Doing business as

Warren & Hagerman Family Dentistry

Practice address

111 W Wigwam Blvd Ste a
Litchfield Park, AZ 85340-4636

Phone

(602) 692-8312

NPI assigned

Jun 12, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Joann Warren

Title

Business Manager

Phone

(623) 935-9376

Specialties & licenses 1

Addresses

Other names 1

• Warren & Hagerman Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Anthony Warren, D.D.S.

  • General Practice Dentistry
  • Litchfield Park, AZ
  • NPI 1013032069
  NPD
• Mehrl Keck Ellsworth, D.D.S.,P.C.

  • General Practice Dentistry
  • Litchfield Park, AZ
  • NPI 1659458651
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1730863572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WIGWAM BLVD STE A",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404636",
            "telephone_number": "623-935-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WIGWAM BLVD STE A",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404636",
            "telephone_number": "602-692-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN & HAGERMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "623-935-9376",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren & Hagerman Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Wallace
• Katelyn Danielle Walpole, FNP
• Jay Walrod, RBT
• Donna Marie Walsh Johnson, LCSW
• Gail Ward, FNP-C
• Michael Anthony Warren, D.D.S.
• Reuben James Washington, M.D.,P.C.
• Mika Watanabe, PA-C
• Jennifer Webb, LPN
• Wee Care Corporation

• Dental Clinic/Center in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.