Organization Active NPI

Randal L Watson DDS PA

  • Dentist
  • Austin, TX
National Provider Identifier
1467676882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20590 Issued in TX
Legal business name
RANDAL L WATSON DDS PA
Practice address
13809 Research Blvd
Ste 804
Austin, TX 78750
Phone
(512) 331-0001
Fax
(512) 219-0152
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randal Lee Watson, DDSNPI 1083863435
Title
Owner Dentist
Phone
(512) 331-0001

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
Dentist 122300000X 20590 TX Primary

Addresses

Primary practice location

13809 Research Blvd
Ste 804
Austin, TX 78750

Mailing address

13809 Research Blvd
Ste 804
Austin, TX 78750
Phone (512) 331-0001

National Provider Directory

National Provider Directory

Locations

13809 Research Blvd
Ste 804
Austin, TX 78750
Phone (512) 331-0001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467676882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 RESEARCH BLVD",
            "address_2": "STE 804",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "512-331-0001",
            "fax_number": "512-219-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 RESEARCH BLVD",
            "address_2": "STE 804",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "512-331-0001",
            "fax_number": "512-219-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL L WATSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "512-331-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.