Warren Dental Associates Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN01871 Issued in RI

Legal business name

WARREN DENTAL ASSOCIATES INC

Practice address

634 Main Street
Warren, RI 02809

Phone

(401) 245-5825

Fax

(401) 245-0936

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Francis Kerwin, DDS

Title

Dentist

Phone

(401) 245-5825

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1881756203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MAIN STREET",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "02809",
            "telephone_number": "401-245-5825",
            "fax_number": "401-245-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MAIN STREET",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "02809",
            "telephone_number": "401-245-5825",
            "fax_number": "401-245-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-245-5825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN01871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1455 1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCRI",
            "identifier": "83864",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W012166",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Warren, RI
• Providers in Warren, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.