Laura Elizabeth Watterson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

106041 Issued in CA

Practice address

1175 Main St
Ramona, CA 92065-2122

Phone

(760) 789-2882

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1275156499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 EBONY AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322513",
            "telephone_number": "307-286-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652122",
            "telephone_number": "760-789-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Station St Ste 175",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801246821",
            "country_code": "US",
            "telephone_number": "303-997-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTERSON",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": ".00000005",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Hill (Vista Hill Learning Assistance Center- North Inland)
• Vista Hill Foundation (Learning Assistance Center - North Inland)
• Vista Hill Foundation (SmartCare Rural)
• Vista Hill Foundation (SmartCare Rural - Ramona)
• Molly Kathleen Watson, A.S.W.
• Chanelle Webber, PTA
• Milagros Weber-Hyatt, IBCLC
• Kimberly Weinreich
• Megan Welch
• Whelco Medical

• Dentist in Ramona, CA
• Providers in Ramona, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.