KW Business Enterprises

Primary specialty

DentistTaxonomy code 122300000X

License

6282 Issued in NC

Legal business name

KW BUSINESS ENTERPRISES

Practice address

3769 Sunset Ave Ste 12
C/O Clear 3D Imaging
Rocky Mount, NC 27804-3327

Phone

(919) 621-5450

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael S Watson, D.D.S.

Title

President/Dentist

Phone

(919) 621-5450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clear 3D Imaging Doing business as

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1487927216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 SUNSET AVE STE 12",
            "address_2": "C/O CLEAR 3D IMAGING",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043327",
            "telephone_number": "919-621-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 SUNSET AVE STE 12",
            "address_2": "C/O CLEAR 3D IMAGING",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043327",
            "telephone_number": "919-621-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KW BUSINESS ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "919-621-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998922",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear 3D Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.