Active NPI
Annie Felicia Watson, D.D.S
- Dentist
- Newport News, VA
National Provider Identifier
1093936304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401419683
- Practice address
- 580 City Center Blvd Ste 2E
Newport News, VA 23606-1880 - Phone
- (757) 240-5711
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 061115 | NY | |
| Dentist | 122300000X | 0401419683 | VA | Primary |
Addresses
Primary practice location
580 City Center Blvd Ste 2E
Newport News, VA 23606-1880
Mailing address
580 City Center Blvd Ste 2E
Newport News, VA 23606-1880
Phone (757) 240-5711
Other practice location 1
2113 Hartford Rd
Hampton, VA 23666-2575
Phone (757) 838-0800
Other names 1
- Dr. Annie Felicia Watson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419683 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1093936304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 CITY CENTER BLVD STE 2E",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061880",
"telephone_number": "757-240-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 CITY CENTER BLVD STE 2E",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061880",
"telephone_number": "757-240-5711"
}
],
"practiceLocations": [
{
"address_1": "2113 Hartford Rd",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236662575",
"country_code": "US",
"telephone_number": "757-838-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "ANNIE",
"middle_name": "FELICIA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061115",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "WATSON",
"middle_name": "FELICIA",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.