Individual provider Active NPI

James Larry Warren, NBC-HIS

  • Hearing Instrument Specialist
  • Dexter, MO
National Provider Identifier
1801973508
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
463 Issued in MO
Practice address
2102 N Outer Rd
Dexter, MO 63841-8482
Phone
(573) 624-6214
Fax
(573) 624-2202
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 463 MO Primary

Addresses

Primary practice location

2102 N Outer Rd
Dexter, MO 63841-8482

Mailing address

2102 N Outer Rd
P O Box 445
Dexter, MO 63841-0445
Phone (573) 624-6214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
463MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
James Larry Warren Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801973508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N OUTER RD",
            "address_2": "P O BOX 445",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638410445",
            "telephone_number": "573-624-6214",
            "fax_number": "573-624-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N OUTER RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638418482",
            "telephone_number": "573-624-6214",
            "fax_number": "573-624-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JAMES",
        "middle_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "NBC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.