Active NPI
Moses Watson III, DDS
- General Practice Dentistry
- Laurinburg, NC
National Provider Identifier
1265528277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6184
- Practice address
- 426 S King St
Laurinburg, NC 28352-3704 - Phone
- (910) 276-9688
- Fax
- (910) 276-2150
- NPI assigned
- Oct 5, 2006
- Last updated
- Apr 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 6184 | NC | Primary |
Addresses
Primary practice location
426 S King St
Laurinburg, NC 28352-3704
Mailing address
426 S King St
Laurinburg, NC 28352-3704
Phone (910) 276-9688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8998941 | Medicaid | NC | |
| 89902VM | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Watson III, DDS, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Watson Family Dentistry
- General Practice Dentistry
- Laurinburg, NC
- NPI 1295936482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1265528277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 S KING ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523704",
"telephone_number": "910-276-9688",
"fax_number": "910-276-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 S KING ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523704",
"telephone_number": "910-276-9688",
"fax_number": "910-276-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MOSES",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8998941",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902VM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.