Carli Warden, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10143 Issued in NC

Practice address

3315 Springbank LN Ste 200
Charlotte, NC 28226-3198

Phone

(980) 423-1145

Fax

(980) 423-1146

NPI assigned

Jul 27, 2015

Last updated

Feb 22, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carli Warden, DDS, PLLC

  dba Luminous Dental

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1255087888
  NPD Authorized official
• Q.M. Chen, D.M.D., PH.D, P.a.

  • General Practice Dentistry
  • Matthews, NC
  • NPI 1598072001
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1861877235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263198",
            "telephone_number": "980-423-1145",
            "fax_number": "980-423-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263198",
            "telephone_number": "980-423-1145",
            "fax_number": "980-423-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "CARLI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey S. Ward, LCSW
• Victor Ward, CSAC
• Victoria Ward
• William Alan Ward, MD
• Yvonne M Ward
• Jeffrey David Warden
• Jenna Lynn Warden, NP
• Julia Warden, RD
• Tracy Marie Warden, NP
• Cassondra Jo Wardle, DPT

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, 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 Feb 22, 2022; 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.