Active NPI
Walter S Warpeha Jr., DDS, MSD
- Prosthodontics
- Minneapolis, MN
National Provider Identifier
1992714232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D7716
- Practice address
- 3201 Johnson Street NE
Minneapolis, MN 55418 - Phone
- (612) 781-6568
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D7716 | MN | Primary |
Addresses
Primary practice location
3201 Johnson Street NE
Minneapolis, MN 55418
Mailing address
3201 Johnson Street NE
Minneapolis, MN 55418
Phone (612) 781-6568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7716 | MN | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Dental Wellness, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Minneapolis, MN
- NPI 1831119437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1992714232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 JOHNSON STREET NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55418",
"telephone_number": "612-781-6568",
"fax_number": "612-781-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 JOHNSON STREET NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55418",
"telephone_number": "612-781-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARPEHA",
"first_name": "WALTER",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MN",
"license": "D7716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.