Active NPI
O Alton Watson Jr., DDS
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1215044268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3252
- Practice address
- 9202 S Pennsylvania Ave
Oklahoma City, OK 73159 - Phone
- (405) 692-5551
- Fax
- (405) 692-5558
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3252 | OK | Primary |
Addresses
Primary practice location
9202 S Pennsylvania Ave
Oklahoma City, OK 73159
Mailing address
9202 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 692-5551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314751 | Other | OK | UNITED HEALTH INS |
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 |
|---|---|---|---|
| 3252 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215044268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9202 S PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73159",
"telephone_number": "405-692-5551",
"fax_number": "405-692-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 S PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73159",
"telephone_number": "405-692-5551",
"fax_number": "405-692-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "O",
"middle_name": "ALTON",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "3252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH INS",
"identifier": "314751",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- 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.