DR. BINCA C WARREN DMD
NPI 1255451878
Dentist - General Practice in Northampton, MA
NPI Status: Active since March 29, 2007
Contact Information
264 ELM ST
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 584-2902
Fax: (413) 586-9904
- Individual
- Female
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About BINCA WARREN
This page provides the complete NPI Profile along with additional information for Binca Warren, a provider established in Northampton, Massachusetts with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1255451878 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 19283 (MA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1255451878
- Provider Name
- DR. BINCA C WARREN DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 264 ELM ST NORTHAMPTON, MA 01060
- Location Phone
- (413) 584-2902
- Location Fax
- (413) 586-9904
- Mailing Address
- 222 WINSOR ST LUDLOW, MA 01056
- Mailing Phone
- (413) 583-3324
- Mailing Fax
- (413) 586-9904
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-29-2007
- Last Update Date
- 02-18-2016
- Code Navigator
A dentist like Binca Warren is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 19283
- License State
- MA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Dental Family - PPO
- Anthem Dental Family Enhanced - PPO
- Anthem Dental Family Preventive - PPO
- Anthem Dental Family Value - PPO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
- High PPO Dental Plan - PPO
- High PPO Dental Plan (Pediatric Only) - PPO
- Kansas Preferred Plan - PPO
- Kansas Preferred Plan (Pediatric Only) - PPO
- Kansas Wellness Essentials Plan - PPO
- Low PPO Dental Plan - PPO
- Low PPO Dental Plan (Pediatric Only) - PPO
- Mississippi Preferred Plan - PPO
- Mississippi Preferred Plan (Pediatric Only) - PPO
- Mississippi Wellness Essentials Plan - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Binca Warren is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01060 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 5 | 1 | 8 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 5 | 2 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 5 + 2 + 8 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1255451878 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124012216 | JESSICA R TROPP N.P. Individual | Nurse Practitioner (Adult Health) | 264 ELM ST NORTHAMPTON, MA 01060 (413) 585-0039 |
| 1538156385 | ALEXANDER RON MILLER MD Individual | Surgery | 264 ELM ST NORTHAMPTON, MA 01060 (413) 586-3232 |
| 1154310068 | DR. EDWARD J. WELCH, JR. D.D.S. Individual | Dentist (General Practice) | 264 ELM ST SUITE 11 NORTHAMPTON, MA 01060 (413) 584-1301 |
| 1376528638 | DR. EDWARD M DEAN MD Individual | Internal Medicine | 264 ELM ST SUITE 10 NORTHAMPTON, MA 01060 (413) 586-1100 |
| 1942285945 | JEFFREY M KORFF MD Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 264 ELM ST NORTH HAMPTON, MA 01060 (413) 585-0039 |
| 1356329833 | LESLIE S. GO MD Individual | Surgery | 264 ELM ST NORTHAMPTON, MA 01060 (413) 586-3232 |
| 1073593679 | DR. ANDREW F. HALL M.D. Individual | Internal Medicine | 264 ELM ST SUITE 12 NORTHAMPTON, MA 01060 (413) 586-1100 |
| 1255311452 | ANNE MCKINNON MD Individual | Internal Medicine | 264 ELM ST STES. 10&12 NORTHAMPTON, MA 01060 (413) 586-1100 |
| 1881664217 | DR. ALICE A ANGELO MD Individual | Internal Medicine | 264 ELM ST JEFFREY KORFF MD NORTHAMPTON, MA 01060 (413) 585-0039 |
| 1023041639 | MS. KELLY M HENRY RN Individual | Registered Nurse | 264 ELM ST JEFFREY KORFF MD NORTHAMPTON, MA 01060 (413) 585-0039 |
| 1134292618 | DR. AARON A DEMAIO D.M.D. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 264 ELM ST NORTHAMPTON, MA 01060 (413) 586-0555 |
| 1306914601 | ELM STREET ADULT MEDICINE, P.C. Organization | Internal Medicine | 264 ELM ST SUITES 10 & 12 NORTHAMPTON, MA 01060 (413) 586-1100 |
| 1477784254 | COCHRANE DENTAL ASSOCIATES LLC Organization | Dentist (General Practice) | 264 ELM ST SUITE 11 NORTHAMPTON, MA 01060 (413) 584-1301 |
| 1528237377 | TEDDI ANN OLSZEWSKI DMD Individual | Dentist (General Practice) | 264 ELM ST NORTHAMPTON, MA 01060 (413) 584-2902 |
| 1629317607 | OLSZEWSKI DENTAL ASSOCIATES Organization | Clinic/Center (Dental) | 264 ELM ST NORTHAMPTON, MA 01060 (413) 584-2902 |
| 1558776708 | MOLLY ELLYN BARNES MS, RD, LDN Individual | Dietitian, Registered | 264 ELM ST NORTHAMPTON, MA 01060 (413) 586-1601 |
| 1811982606 | DR. JEFFREY M KORFF M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 264 ELM ST SUITE 9 NORTHAMPTON, MA 01060 (413) 585-0039 |
| 1306922463 | MARGARET LEE SEILER M.S.W. Individual | Social Worker (Clinical) | 264 ELM ST NORTHAMPTON, MA 01060 (413) 493-1883 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255451878, enumerated in the NPI registry as an "individual" on March 29, 2007
The provider is located at 264 Elm St Northampton, Ma 01060 and the phone number is (413) 584-2902
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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