Organization Active NPI

Gary L. Watkins DDS PC

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1518174408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARY L. WATKINS DDS PC
Practice address
560 N Stapley Dr
Suite 2
Mesa, AZ 85203-7320
Phone
(480) 964-2131
Fax
(480) 964-7334
NPI assigned
May 17, 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. Gary Lynn Watkins, DDS
Title
President
Phone
(480) 964-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

560 N Stapley Dr
Suite 2
Mesa, AZ 85203-7320

Mailing address

560 N Stapley Dr
Suite 2
Mesa, AZ 85203-7320
Phone (480) 964-2131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518174408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N STAPLEY DR",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037320",
            "telephone_number": "480-964-2131",
            "fax_number": "480-964-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N STAPLEY DR",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037320",
            "telephone_number": "480-964-2131",
            "fax_number": "480-964-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. WATKINS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-964-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.