Keith E Watson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8220 Issued in OR

Legal business name

KEITH E WATSON DDS PC

Practice address

1832 N Lombard St
Portland, OR 97217-5662

Phone

(503) 235-3002

Fax

(503) 235-0084

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Keith E Watson, DDSNPI 1205816253

Title

Owner

Phone

(503) 235-3002

Specialties & licenses 1

Addresses

Other names 1

• North Portland Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Edward Watson, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1205816253
  NPD Authorized official
• Patrick Ching Hsiang Chuang, DDS

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1124543640
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1114194818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175662",
            "telephone_number": "503-235-3002",
            "fax_number": "503-235-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175662",
            "telephone_number": "503-235-3002",
            "fax_number": "503-235-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH E WATSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-235-3002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "8220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Portland Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanne Michelle Parker Keim, QMHA
• Teresa Burnelle Keirns, RN, CNM
• Cris Keirsey
• Caitlin Reeves Keitel, MAPOF
• Keith Dempsey Counseling & Consulting
• Keith G. Lowenstein MD PC
• Keith Powrie, LCSW, LLC
• Keith Turner Slicho, DO, PC
• Christopher Keith, LMT#26010
• Jasmine Shanee Keith, QMHA

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.