Active NPI
Craig William Watson, DDS
- Dentist
- Livonia, MI
National Provider Identifier
1093784845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15276
- Practice address
- 16801 Newburgh Rd
Suite 110
Livonia, MI 48154 - Phone
- (734) 464-2400
- Fax
- (734) 464-2403
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15276 | MI | Primary |
Addresses
Primary practice location
16801 Newburgh Rd
Suite 110
Livonia, MI 48154
Mailing address
16801 Newburgh Rd
Suite 110
Livonia, MI 48154
Phone (734) 464-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151223000928 | MI | Order and Referring Only - Dentist | 0143521765 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15276 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093784845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16801 NEWBURGH RD",
"address_2": "SUITE 110",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-464-2400",
"fax_number": "734-464-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16801 NEWBURGH RD",
"address_2": "SUITE 110",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-464-2400",
"fax_number": "734-464-2403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CRAIG",
"middle_name": "WILLIAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "15276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.