James Garland Watson, Jr., D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7872 Issued in TX

Practice address

2400 Broadmoor Dr
Bryan, TX 77802-2801

Phone

(979) 776-2114

Fax

(979) 776-5259

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia M Fachorn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Watson Orthodontic Specialist of the Brazos Valley

  • Dental Clinic/Center
  • Bryan, TX
  • NPI 1730401605
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114028412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BROADMOOR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022801",
            "telephone_number": "979-776-2114",
            "fax_number": "979-776-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BROADMOOR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022801",
            "telephone_number": "979-776-2114",
            "fax_number": "979-776-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON, JR.",
        "first_name": "JAMES",
        "middle_name": "GARLAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "FACHORN",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Lea Warren, DNP, APRN, AGACNP-BC
• Lorraine Washburn, PA-C
• Timmie Tyrone Waters
• Watson Orthodontic Specialist of the Brazos Valley
• Daffney Kendra Watson-Couch, M.A.
• Stephen Tyler Watson
• Brian Allan Watts, PT
• Jason Michael Weaver, M.D.
• Staci Dawn Weaver, OTR
• Stephanie Weber, LMFT-ASSOCIATE

• Orthodontics and Dentofacial Orthopedics Dentistry in Bryan, TX
• Providers in Bryan, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.