Moses Watson III, DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

6184 Issued in NC

Legal business name

MOSES WATSON III, DDS, PA

Practice address

4601 Western Blvd
Raleigh, NC 27606-1815

Phone

(919) 854-0059

Fax

(919) 854-0039

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Sharisse Lyons

Title

Business Office Manager

Phone

(919) 688-8949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Watson Family Dentistry Doing business as

Tax ID family

Moses Watson III DDS PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Moses Watson III, DDS, PA

  • General Practice Dentistry
  • Laurinburg, NC
  • NPI 1295936482
  NPD tax ID
• Moses Watson III, DDS, PA

  • Dentist
  • Durham, NC
  • NPI 1821434341
  NPD tax ID

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1275979445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FAYETTEVILLE ST",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013910",
            "telephone_number": "919-688-8949",
            "fax_number": "919-688-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061815",
            "telephone_number": "919-854-0059",
            "fax_number": "919-854-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES WATSON III, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SHARISSE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "919-688-8949",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Henry Moseley III, MPT, OCS, CSCS
• Leana Marie Moseley, RBT
• Sydney Layne Moseley, MD
• Deann Evelyn Moser-Jens, OTR/L
• P Wayne Moser, O.D.
• Florence Cottrell Moses, PT
• Helen Moses
• Holly Blanc Moses, MS
• Jan Marie Moses, CNM
• Casey Mosher

• Dentist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.