NPIMap

Organization Active NPI

Watson Dental, LLC

  • Dental Clinic/Center
  • Crawfordsville, IN
National Provider Identifier
1356090195
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WATSON DENTAL, LLC
Practice address
1485 S Grant Ave Ste B
Crawfordsville, IN 47933-3361
Phone
(765) 362-0900
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Amber Watson, DMDNPI 1437522281
Title
President
Phone
(765) 362-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1485 S Grant Ave Ste B
Crawfordsville, IN 47933-3361

Mailing address

1485 S Grant Ave Ste B
Crawfordsville, IN 47933-3361

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@crawfordsvilledentist.com

National Provider Directory

National Provider Directory

Locations

1485 S Grant Ave
Ste B
Crawfordsville, IN 47933
Phone (765) 362-0900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1356090195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 S GRANT AVE STE B",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S GRANT AVE STE B",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333361",
            "telephone_number": "765-362-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-362-0900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@crawfordsvilledentist.com",
            "affiliation": "N",
            "address_1": "1485 S Grant Ave Ste B",
            "city": "Crawfordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479333361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

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