NPIMap

Organization Active NPI

Higgins, Mani & Watson IV DDS PA

  • General Practice Dentistry
  • Smithfield, NC
National Provider Identifier
1316023443
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6282 Issued in NC
Legal business name
HIGGINS, MANI & WATSON IV DDS PA
Practice address
545 Venture Dr
Smithfield, NC 27577-4767
Phone
(919) 938-0525
Fax
(919) 938-0544
NPI assigned
Oct 31, 2006
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Michael Steven Watson, DDS
Title
Pres.
Phone
(919) 938-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6282 NC Primary

Addresses

Primary practice location

545 Venture Dr
Smithfield, NC 27577-4767

Mailing address

545 Venture Dr
Smithfield, NC 27577-4767
Phone (919) 938-0525

Other identifiers 1

IdentifierTypeStateIssuer
5904151MedicaidNC

Other names 1

  • Harrold, Higgins, Mani & Watson IV DDS PA Former legal business name

National Provider Directory

National Provider Directory

Locations

545 Venture Dr
Smithfield, NC 27577
Phone (919) 938-0525

Practitioners & affiliated clinicians

Practitioners 7

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1316023443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 VENTURE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774767",
            "telephone_number": "919-938-0525",
            "fax_number": "919-938-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VENTURE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774767",
            "telephone_number": "919-938-0525",
            "fax_number": "919-938-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINS, MANI & WATSON IV DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "919-938-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904151",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrold, Higgins, Mani & Watson IV DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.