MICHAEL R WARNER (DDS PHD) – Dentist, NPI 1730154378

MICHAEL R WARNER (DDS PHD) is a healthcare provider. based in Fort worth, Texas. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials DDS PHD. They hold a License No. 13421 (TX). The NPI Number for MICHAEL R WARNER (DDS PHD) is 1730154378

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL R WARNER (DDS PHD)
NPI
1730154378
Phone
(817) 927-1325
Address
1625 ST LOUIS AVE
Enumeration Date
17 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
THE DENTAL SCHOOL AT UNIVERSITY OF TEXAS HSC AT SAN ANTONIO
Secondary Phone
8177026936
Graduation Year
1982 (44 years ago)
PAC ID
8022916212
Group Practice PAC ID
2668498387
Professional Enrollment ID
I20051025000134
Address ID
TX761044917FO1500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

98 MAXILLOFACIAL SURGERY in TX

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Provider Addresses for MICHAEL R WARNER (DDS PHD)

  • 1625, Saint Louis Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 76104

    Phone: (817) 927-1325

    Fax: (817) 927-1497

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $2,429.

Total Amount is formed as General ($2,429) + Research ($0) + Ownership ($0) = $2,429.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: BioHorizons Implant Systems Inc. ($1,407).

Total Amount

$2,429

General + Research + Ownership

Payments

34

Total payment records

General Amount

$2,429

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051025000134IMaxillofacial SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668498387View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryTX
-TX
Maxillofacial Surgery, Oral Surgery, Plastic And Reconstructive Surgery, Vascular SurgeryTX
Oral SurgeryMI
Oral SurgeryTX
Oral SurgeryTX
Maxillofacial SurgeryTX
-CA
-TX
-TX

Reviews

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Frequently asked questions

What is MICHAEL R WARNER (DDS PHD)'s NPI number?
MICHAEL R WARNER (DDS PHD)'s NPI is 1730154378 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MICHAEL R WARNER (DDS PHD)?
You should see MICHAEL R WARNER (DDS PHD) as active in CMS-hosted NPPES data.
What expertise is attributed to MICHAEL R WARNER (DDS PHD)?
MICHAEL R WARNER (DDS PHD)'s specialty line reads Dentist. Clinical services aligned with this taxonomy classification.
Is MICHAEL R WARNER (DDS PHD) located near Fort Worth?
MICHAEL R WARNER (DDS PHD) currently maps to Fort Worth, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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