William R Watson Jr., DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401416041 Issued in VA

Practice address

12528 Warwick Blvd Ste D
Newport News, VA 23606-2958

Phone

(757) 599-8393

Fax

(757) 599-8307

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 22, 2015 through May 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Root Canal Specialists, PLLC

  • Endodontics
  • Newport News, VA
  • NPI 1720568827
  NPD (past)
• Wichita Endodontics LLC

  • Endodontics
  • Wichita, KS
  • NPI 1326564188
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1457339194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 WARWICK BLVD STE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062958",
            "telephone_number": "757-599-8393",
            "fax_number": "757-599-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 WARWICK BLVD STE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062958",
            "telephone_number": "757-599-8393",
            "fax_number": "757-599-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6545",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401416041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Watson III, D.D.S.
• Chase Alan Watson, DNP, RN
• Graham Thomas Watson, MD
• Novia Watson
• Patrick Allen Watson, DMD
• Wayne a Martin LCSW LLC
• WCS Professional Services of Virginia, LLC (Wound Care Specialists)
• We Care Health Care
• We Care Health Care, LLC
• We Love Autism Academy of Virginia, LLC

• Endodontics in Newport News, VA
• Providers in Newport News, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.