NPIMap

Organization Active NPI

David Watson

  • Dental Clinic/Center
  • Paragould, AR
National Provider Identifier
1245828391
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID WATSON
Doing business as
Watson Dental Care
Practice address
628 W Garland St
Paragould, AR 72450-4213
Phone
(870) 236-1100
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Dr. David Dental Watson, DDS
Title
Owner
Phone
(870) 236-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

628 W Garland St
Paragould, AR 72450-4213

Mailing address

628 W Garland St
Paragould, AR 72450-4213
Phone (870) 236-1100

Other names 1

  • Watson Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

628 W Garland St
Paragould, AR 72450
Phone (870) 236-1100

Practitioners & affiliated clinicians

Practitioners 1

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1245828391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W GARLAND ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504213",
            "telephone_number": "870-236-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W GARLAND ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504213",
            "telephone_number": "870-236-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WATSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DENTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-236-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.