Individual provider Active NPI

Renea Marie Watkins, RDH

  • Dental Hygienist
  • Lebanon, NH
National Provider Identifier
1194989459
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
02731 Issued in NH
Practice address
1 Court St Ste 270
Lebanon, NH 03766-6313
Phone
(603) 448-1830
Fax
(603) 448-1826
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 02731 NH Primary

Addresses

Primary practice location

1 Court St Ste 270
Lebanon, NH 03766-6313

Mailing address

1 Court St Ste 270
Lebanon, NH 03766-6313
Phone (603) 448-1830

Other identifiers 1

IdentifierTypeStateIssuer
02731OtherNHRDH STATE OF NH

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

LicenseStateTypeSpecialty
02731NHMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
42 North Dental Care, PLLC PastSince Jul 12, 2020 Accepting new patients
DRS. Osofsky D.D.S. & Sabatelle, Jr. D.M.D Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1194989459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COURT ST STE 270",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666313",
            "telephone_number": "603-448-1830",
            "fax_number": "603-448-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COURT ST STE 270",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666313",
            "telephone_number": "603-448-1830",
            "fax_number": "603-448-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "RENEA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NH",
            "license": "02731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH STATE OF NH",
            "identifier": "02731",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.