Erin M Watkins, LICENSED DENTURIST

Primary specialty

DenturistTaxonomy code 122400000X

License

DT-DO-10183651 Issued in OR

Practice address

1113 Progress Dr
Medford, OR 97504

Phone

(541) 512-3900

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• La Clinica del Valle Family Health Care Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1891061784
  NPD (past)
• Valley Denture Care LLC

  • Denturist
  • Jacksonville, OR
  • NPI 1770083172
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1477083145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-690-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 PROGRESS DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-512-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "OR",
            "postal_code": "975309704",
            "country_code": "US",
            "telephone_number": "541-899-9516",
            "fax_number": "541-899-9516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "OR",
            "postal_code": "975309704",
            "country_code": "US",
            "telephone_number": "541-899-9516",
            "fax_number": "541-899-9516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4940 Hamrick Rd",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975023072",
            "country_code": "US",
            "telephone_number": "541-690-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICENSED DENTURIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10183651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Elizabeth Waszak
• Tetsuji Zenas Watari, DDS
• Vanessa J Waterbury
• Waterford Operations, LLC
• Susan Ann Waterman, LCSW
• Jennifer Watkins, BA, MA, PSY.D., QMHP
• Jessi Watkins
• Lynda Lee Watkins
• Susan Lee Watkins, FNP
• Amy R Watson, PHARMD

• Denturist in Medford, OR
• Providers in Medford, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.