Hartman Samuel Ian Watson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13614 Issued in TX

Practice address

1211 S Main St Ste 300H
Keller, TX 76248

Phone

(817) 343-9224

NPI assigned

Feb 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1194223404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S MAIN ST STE 300H",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480818",
            "telephone_number": "817-343-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S MAIN ST STE 300H",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-343-9224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5751 Kroger Dr Ste 264",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445651",
            "country_code": "US",
            "telephone_number": "817-343-9224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 S Main St Ste 300H",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "76248",
            "country_code": "US",
            "telephone_number": "817-343-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HARTMAN",
        "middle_name": "SAMUEL IAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Scott Wall, D.D.S.
• Jason Fox Wander, DO
• Xizi Wang, M.S. IN TCM
• Phiona Wanyana
• Mi'Litha Kashunta Washington
• Mary Katherine Watters, M.D.
• Moriah Watts
• Cynthia Castle Weathers, CCC/SLP
• Michael David Webb, LPC
• Tracie D Webb

• Chiropractor in Keller, TX
• Providers in Keller, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.