Active NPI
Harry M Watts, DMD
- Dentist
- Versailles, KY
National Provider Identifier
1447372263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3868
- Practice address
- 210 Crossfield Dr
Versailles, KY 40383 - Phone
- (859) 873-7101
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3868 | KY | Primary |
Addresses
Primary practice location
210 Crossfield Dr
Versailles, KY 40383
Mailing address
PO Box 304
210 Crossfield Dr
Versailles, KY 40383
Phone (859) 873-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60038684 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3868 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447372263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"address_2": "210 CROSSFIELD DR",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "40383",
"telephone_number": "859-873-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CROSSFIELD DR",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "40383",
"telephone_number": "859-873-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "HARRY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "3868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60038684",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.