Active NPI
Charles G Watt D O P L L C
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1063730364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO1375
- Legal business name
- CHARLES G WATT D O P L L C
- Practice address
- 7529 Coral River Dr
Las Vegas, NV 89131-2619 - Phone
- (702) 656-4150
- NPI assigned
- May 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles G Watt, DO
- Title
- Provider
- Phone
- (702) 656-4150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO1375 | NV | Primary |
Addresses
Primary practice location
7529 Coral River Dr
Las Vegas, NV 89131-2619
Mailing address
PO Box 36830
Las Vegas, NV 89133-6830
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279497600000",
"number": "1063730364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36830",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891336830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7529 CORAL RIVER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312619",
"telephone_number": "702-656-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES G WATT D O P L L C",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-07-19",
"status": "A",
"authorized_official_last_name": "WATT",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "702-656-4150",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "DO1375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.