Paige P. Warren DMD PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7194 Issued in KY

Legal business name

PAIGE P. WARREN DMD PSC

Practice address

125 E Main St
Providence, KY 42450-1268

Phone

(270) 667-7301

Fax

(270) 667-7630

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paige P Warren, DMDNPI 1558459388

Title

President

Phone

(270) 667-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

• Paige Warren, DMD

  • General Practice Dentistry
  • Providence, KY
  • NPI 1558459388

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1942579529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501268",
            "telephone_number": "270-667-7301",
            "fax_number": "270-667-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501268",
            "telephone_number": "270-667-7301",
            "fax_number": "270-667-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE P. WARREN DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-667-7301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60071941",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winona F Lambdin, RN
• Tristan K Lineberry, MD
• Brad Long, CSW
• Joseph Lowery, APRN
• Lori R Marrero, APRN
• Jami T Perry, MD
• Adria N Porter, OD
• Providence Ind. Schools
• Raymond T Quatro, MD
• Regional Health Care Affiliates, Inc.

• All providers in Providence, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.