Warrendale Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

2901011576 Issued in MI

Legal business name

WARRENDALE DENTAL CENTER

Practice address

6501 Greenfield Rd # 201
Detroit, MI 48228-4780

Phone

(313) 584-5600

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bernard A Johnson, DDSNPI 1346453693

Title

President

Phone

(313) 584-5600

Specialties & licenses 1

Addresses

Tax ID family

Warrendale Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Warrendale Dental Center PC

  • Dental Laboratory
  • Detroit, MI
  • NPI 1265735633
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard A Johnson, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1346453693
  NPD (past) Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1942519624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GREENFIELD RD # 201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284780",
            "telephone_number": "313-584-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GREENFIELD RD # 201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284780",
            "telephone_number": "313-584-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENDALE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-584-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901011576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Warren
• Stephanie Warren
• Timothy Justin Warren, LLPC
• Tokaro Warren
• Warrendale Care
• Warrendale Dental Center PC
• Warrendale Pediatrics
• Warrendale Pharmacy RX LLC
• Allen Hugh Warrick III, CADC-SST
• Sonali Warrick, M.D.

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.