DR. DEREK WARREN (NPI# 1396103933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396103933 |
| Entity Type | Individual |
| Full Name | DR. DEREK WARREN |
| Credential | D.M.D , M.S. |
| Practice Address |
499 Gloster Creek Village Suite F-5a Tupelo MS 38801 |
| Practice Telephone | 6628449580 |
| Practice Fax Number | 6628449103 |
| Mailing Telephone | 6628449580 |
| Mailing Fax Number | 6628449103 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3852-16 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06227838 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447810510 | Derek Lee Warren | Optometrist | 9820 W Lower Buckeye Rd Ste 101, Tolleson, AZ 85353-1412 | 2019-06-19 |
| Street Address |
499 GLOSTER CREEK VILLAGE SUITE F-5A |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770543092 | Maurice Allan Clark | Optometrist | 499 Gloster Creek Village, Suite F3, Tupelo, MS 38801-4631 | 2006-03-23 |
| 1275081754 | North Mississippi Electrophysiology, LLC | Internal Medicine | 499 Gloster Creek Village, Suite A-2, Tupelo, MS 38801-4749 | 2016-09-14 |
| 1912003005 | Joseph Curtis Adams | Internal Medicine | 499 Gloster Creek Village, A-2, Tupelo, MS 38801 | 2006-09-15 |
| 1952310492 | 2020 Vision Center, Pa | Optometrist | 499 Gloster Creek Village, Suite F3, Tupelo, MS 38801-4631 | 2006-08-05 |
| 1508886805 | Urology Professional Assoc | Urology | 499 Gloster Creek Village, Suite A1, Tupelo, MS 38801-4600 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255822169 | Daniel Kirk Knighton | Dentist | 101 N Industrial Rd Ste A, Tupelo, MS 38801-3441 | 2018-05-25 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1386097343 | Latoya Legrand | Dentist | 401 S Gloster St Ste 101, Tupelo, MS 38801-5541 | 2016-07-14 |
| 1336418540 | Happy Smiles Dentistry - Tupelo LLC | Dentist | 101 N Industrial Rd, Ste H, Tupelo, MS 38801-3441 | 2011-12-16 |
| 1720389984 | John Paul Bryson | Dentist | 1203 N Gloster St, Suite M, Tupelo, MS 38804-1222 | 2010-11-04 |
| 1467661983 | Ed Holliday, D.m.d., Inc. | Dentist | 901 Garfield St, Tupelo, MS 38801-5737 | 2007-05-21 |
| 1427264241 | John T Lamberth | Dentist | 1763 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2007-05-16 |
| 1073727772 | Joby Davis Collins | Dentist | 704 Hillcrest Drive, Tupelo, MS 38804-1235 | 2007-05-10 |
| 1558488841 | Charles F Young | Dentist | 604 Brunson Dr, Tupelo, MS 38801-4947 | 2007-03-23 |
| 1134246630 | Tupelo Smiles Family and Cosmetic Dentistry | Dentist | 101 Park Gate Dr, Tupelo, MS 38801-3033 | 2007-03-22 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.