Active NPI
Marcy Jo Watson, DDS, DABP
- Periodontics
- Austin, TX
National Provider Identifier
1285074260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 35051
- Practice address
- 4613A Bee Caves Rd
Ste 203
Austin, TX 78746 - Phone
- (512) 443-5704
- NPI assigned
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 35051 | TX | Primary |
Addresses
Primary practice location
4613A Bee Caves Rd
Ste 203
Austin, TX 78746
Mailing address
4613A Bee Caves Rd
Ste 203
Austin, TX 78746
Phone (512) 443-5704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35051 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Periodontal Associates Inc | Periodontics | Past | Accepting new patients |
| Iq Dental PLLC | Past | Accepting new patients | |
| Trails Dental Group and Orthodontics, PC | Dentist | Past | Accepting new patients |
| Mahavir Dental PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Austin, TX
- NPI 1720195498
-
dba Trails Dental Group and Orthodontics
- Dentist
- Austin, TX
- NPI 1780921601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1285074260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613A BEE CAVES RD",
"address_2": "STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-443-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4613A BEE CAVES RD",
"address_2": "STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-443-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MARCY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DDS, DABP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "35051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.