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Deactivated NPI 1518015767 Deactivated / Inactive NPI Male Practitioner

Dr. Wade Windosr Warren , DDS

Dentist - General Practice • Springfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wade Warren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2007
NPI Deactivation Date January 31, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Wade Warren, DDS was a registered Dentist - General Practice practicing in Springfield, MO. Throughout an active medical career spanning 17 years, Dr. Warren provided care at the practice location at 1736 E SUNSHINE ST until profile deactivation on 2024-01-31.

Practice Location & Contact Primary Location

Practice Address

1736 E Sunshine St
1012

Springfield, MO 658041343

Telephone 4178813502
Fax 4178818721
Associated Practice Facility / Clinic
🏢 Karlovich & Associates, Inc. Facility NPI 1184613119

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Springfield, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 13410

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. James Harris , PhD, LPC

Counselor - Professional

NPI 1134279342

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor

Jane Dosch

Counselor - Professional

NPI 1215064894
Dr. James E Bright , MD

Psychiatry & Neurology - Psychiatry

NPI 1235242454

Doctor of Medicine (M.D.)

Dr. Gary Wilson , PhD

Psychologist - Counseling

NPI 1326177023

Doctor of Philosophy (Ph.D.)

Dr. Nola Culbertson , PhD

Counselor - Mental Health

NPI 1336284272

Doctor of Philosophy (Ph.D.)

Dr. Ottie Bradshaw , EdD

Psychologist - Counseling

NPI 1366579864

Doctor of Education (Ed.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 31, 2024

Record deactivated on January 31, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1736 E SUNSHINE ST, 1012, SPRINGFIELD, MO 658041343 (Tel: 4178813502)

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Updated Business Mailing Address July 08, 2007

Registered at 1736 E SUNSHINE ST, 1012, SPRINGFIELD, MO 658041343 (Tel: 4178813502)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WADE WARREN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13410 in MO)

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Initial NPI Registration & Enumeration January 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518015767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2007
Last Update: July 08, 2007
Deactivation Date: January 31, 2024

Mailing Address

1736 E Sunshine St, 1012

Springfield, MO 658041343

Phone: 4178813502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.