Organization Active NPI

Scot K Watase DMD Inc.

  • Pediatric Dentistry
  • Montebello, CA
National Provider Identifier
1235319898
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
42896 Issued in CA
Legal business name
SCOT K WATASE DMD INC.
Practice address
505 W Beverly Blvd
Montebello, CA 90640-3621
Phone
(323) 724-1330
Fax
(323) 724-4356
NPI assigned
Nov 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Scot K Watase, D.M.DNPI 1922120336
Title
Dentist
Phone
(323) 724-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 42896 CA Primary

Addresses

Primary practice location

505 W Beverly Blvd
Montebello, CA 90640-3621

Mailing address

505 W Beverly Blvd
Montebello, CA 90640-3621
Phone (323) 724-1330

National Provider Directory

National Provider Directory

Locations

505 W Beverly Blvd
Montebello, CA 90640
Phone (323) 724-1330

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1235319898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403621",
            "telephone_number": "323-724-1330",
            "fax_number": "323-724-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403621",
            "telephone_number": "323-724-1330",
            "fax_number": "323-724-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOT K WATASE DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-11",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "WATASE",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-724-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.