Katie Warner, D.D.S.10

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020231 Issued in MI

Practice address

7934 Ashton Woods Dr
Portage, MI 49024-5090

Phone

(269) 327-3290

NPI assigned

Jun 22, 2010

Last updated

Nov 14, 2012By the provider in NPPES

Sex

Female

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 MI

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

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.

• Katie Alley Warner DDS

  • Dental Clinic/Center
  • Portage, MI
  • NPI 1326657750
  NPD Authorized official

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1801117148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7934 ASHTON WOODS DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7934 ASHTON WOODS DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245090",
            "telephone_number": "269-327-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.10",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuandi Wang, D.D.S.
• Paul W Wang, M.D.
• Xue Wang, M.D.
• Dashaya Ward
• Candis Marlo Warner
• Ronald L Warner, DC
• Benjamen Warren, LMT
• Ann Warsop
• Natalie Washington
• Sarah Anne Wasserman, D.O.

• General Practice Dentistry in Portage, MI
• Providers in Portage, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.