Individual provider Active NPI

James Allen Watson, DDS

  • General Practice Dentistry
  • Chelsea, MI
National Provider Identifier
1346456217
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16288 Issued in MI
Practice address
1414 S Main St
Chelsea, MI 48118-1497
Phone
(734) 475-8800
Fax
(734) 475-8802
NPI assigned
May 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16288 MI
General Practice Dentistry 1223G0001X 16288 MI Primary

Addresses

Primary practice location

1414 S Main St
Chelsea, MI 48118-1497

Mailing address

1414 S Main St
Chelsea, MI 48118-1497
Phone (734) 475-8800

Other practice location 1

20307 W 12 Mile Rd Ste 106
Southfield, MI 48076-5407
Phone (248) 355-9800

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

LicenseStateTypeSpecialty
16288MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James Watson DDS PLLC PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346456217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181497",
            "telephone_number": "734-475-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181497",
            "telephone_number": "734-475-8800",
            "fax_number": "734-475-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20307 W 12 Mile Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480765407",
            "country_code": "US",
            "telephone_number": "248-355-9800",
            "fax_number": "248-355-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "16288",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.