Jeremy Evan Warn, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.02644 Issued in OH

Practice address

5002 Foote Rd
Medina, OH 44256-5396

Phone

(330) 725-8449

Fax

(330) 722-1805

NPI assigned

Apr 13, 2017

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

Enrolled in MA

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

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 and National Provider Directory roles.

• Gary Schween D.D.S., Brian Schmidt, D.M.D., & Jeremy Warn, D.D.S., Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Medina, OH
  • NPI 1376737171
  NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1740714955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 FOOTE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565396",
            "telephone_number": "330-725-8449",
            "fax_number": "330-722-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 FOOTE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565396",
            "telephone_number": "330-725-8449",
            "fax_number": "330-722-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Park Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442817100",
            "country_code": "US",
            "telephone_number": "330-336-6693",
            "fax_number": "330-335-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARN",
        "first_name": "JEREMY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.02644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Walsh
• Melissa Marie Walt, PSYD
• Faith Shannon Walters, LSW
• Tammy M Walters, LISW
• Steven Allen Wanek, M.D.
• Jaclyn Nichole Warner, RN
• Karyssa Karine Watkins
• Shatayla Casonda Watkins, QMHS
• Eva Nicole Watts
• Latoria Chavell Weaver-Spaulding

• Oral and Maxillofacial Surgery (Dentist) in Medina, OH
• Providers in Medina, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.