Active NPI
Dianne Blanton Watson, D.D.S.
- Dentist
- Shelbyville, TN
National Provider Identifier
1447546320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000005253
- Practice address
- 401 Deery St
Shelbyville, TN 37160-3405 - Phone
- (931) 684-1882
- Fax
- (931) 684-1883
- NPI assigned
- Jun 20, 2011
- Last updated
- Jun 20, 2011
- Sex
- Female
- 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 | DS0000005253 | TN | Primary |
Addresses
Primary practice location
401 Deery St
Shelbyville, TN 37160-3405
Mailing address
401 Deery St
Shelbyville, TN 37160-3405
Phone (931) 684-1882
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000005253 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Dental, PLLC | Dentist | Past | 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.
-
- Dentist
- Shelbyville, TN
- NPI 1164650545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1447546320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 DEERY ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371603405",
"telephone_number": "931-684-1882",
"fax_number": "931-684-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 DEERY ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371603405",
"telephone_number": "931-684-1882",
"fax_number": "931-684-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DIANNE",
"middle_name": "BLANTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000005253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.