William Robert Rodman Warren III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12413 Issued in NC

Practice address

2606 New Walkertown Rd
Winston Salem, NC 27101-1949

Phone

(336) 724-5055

NPI assigned

Aug 13, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• William R. Warren DDS, PA

  • Dentist
  • Winston Salem, NC
  • NPI 1982009114
  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1821763525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 KNOB VIEW DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045141",
            "telephone_number": "336-816-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 NEW WALKERTOWN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011949",
            "telephone_number": "336-724-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT RODMAN",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G Warren, PA
• Kaily Wilson Warren, FNP-C
• Katie Warren, PA-C
• Leigh Warren, LCSW
• Tai'Chia Warren
• William Rodman Warren, DDS
• Marium Warsi-Zehri, OD
• Suman Madanlal Wasan, MD
• Lisa Katheryn Washburn, MD
• Ronald Glenn Washburn, M.D.

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.