Organization Active NPI

Affordable Dentures & Implants - Evansville, P.C.

  • Dentist
  • Evansville, IN
National Provider Identifier
1255801379
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - EVANSVILLE, P.C.
Practice address
619 N Burkhardt Rd Ste a
Evansville, IN 47715-7296
Phone
(360) 692-1273
NPI assigned
Dec 1, 2018
Last updated
Dec 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2018

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

Authorized official

Name
Lauren Watson, DMDNPI 1417280132
Title
Owner
Phone
(360) 692-1273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

619 N Burkhardt Rd Ste a
Evansville, IN 47715-7296

Mailing address

619 N Burkhardt Rd Ste a
Evansville, IN 47715-7296
Phone (360) 692-1273

National Provider Directory

National Provider Directory

Locations

619 N Burkhardt Rd
Ste A
Evansville, IN 47715
Phone (360) 692-1273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543622400000",
    "number": "1255801379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N BURKHARDT RD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157296",
            "telephone_number": "360-692-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N BURKHARDT RD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157296",
            "telephone_number": "360-692-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - EVANSVILLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-692-1273",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.