Individual provider Active NPI

Ivy Elizabeth Watts, DMD

  • Dentist
  • Montgomery, AL
National Provider Identifier
1427673920
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6769 Issued in AL
Practice address
3150 Zelda CT
Montgomery, AL 36106-2607
Phone
(334) 281-2451
Fax
(334) 281-1087
NPI assigned
Jun 10, 2020
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6769 AL Primary

Addresses

Primary practice location

3150 Zelda CT
Montgomery, AL 36106-2607

Mailing address

3150 Zelda CT
Montgomery, AL 36106-2607
Phone (334) 281-2451

Other practice location 1

1831 Glynwood Dr
Prattville, AL 36066-5584
Phone (334) 356-9001

Other practice location 2

5740 Carmichael Rd
Montgomery, AL 36117-2312
Phone (334) 277-9570

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
6769ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glynwood Park Dental Care Past Accepting new patients
Thomas H. Williams III DMD, PC Past Accepting new patients
GD Al Glynwood PLLC PastSince Mar 19, 2023 Accepting new patients
McLemore Dentistry, LLC PastSince Apr 11, 2021 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, 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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1427673920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ZELDA CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062607",
            "telephone_number": "334-281-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ZELDA CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062607",
            "telephone_number": "334-281-2451",
            "fax_number": "334-281-1087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Glynwood Dr",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360665584",
            "country_code": "US",
            "telephone_number": "334-356-9001",
            "fax_number": "334-401-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5740 Carmichael Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361172312",
            "country_code": "US",
            "telephone_number": "334-277-9570",
            "fax_number": "334-277-0152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "IVY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.