NPIMap

Organization Active NPI

William R. Warren DDS, PA

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1982009114
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4966 Issued in NC
Legal business name
WILLIAM R. WARREN DDS, PA
Practice address
2606 New Walkertown Rd.
Winston Salem, NC 27101
Phone
(336) 724-5055
Fax
(336) 724-1525
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
William Rodman Warren, GENERAL DENTISTRYNPI 1922152065
Title
Owner / Dentist
Phone
(336) 724-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4966 NC Primary

Addresses

Primary practice location

2606 New Walkertown Rd.
Winston Salem, NC 27101

Mailing address

2606 New Walkertown Rd.
Winston Salem, NC 27101
Phone (336) 724-5055

National Provider Directory

National Provider Directory
Tax ID family
William R Warren DDS PA2 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.

Locations

2606 New Walkertown Rd
Winston Salem, NC 27101
Phone (336) 724-5055

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1982009114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 NEW WALKERTOWN RD.",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-724-5055",
            "fax_number": "336-724-1525"
        },
        {
            "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": "27101",
            "telephone_number": "336-724-5055",
            "fax_number": "336-724-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. WARREN DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RODMAN",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "336-724-5055",
        "authorized_official_credential": "GENERAL DENTISTRY"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.