NPIMap

Organization Active NPI

Teresa M Watkins DDS

  • Dentist
  • Muncie, IN
National Provider Identifier
1588062848
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010271A Issued in IN
Legal business name
TERESA M WATKINS DDS
Practice address
315 W Washington St
Muncie, IN 47305-1634
Phone
(765) 282-2265
Fax
(765) 282-2266
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Teresa Michelle Watkins, D.D.S.NPI 1932313269
Title
Owner/Dentist
Phone
(765) 282-2265

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12010271A IN Primary

Addresses

Primary practice location

315 W Washington St
Muncie, IN 47305-1634

Mailing address

315 W Washington St
Muncie, IN 47305-1634
Phone (765) 282-2265

Other identifiers 1

IdentifierTypeStateIssuer
200888510MedicaidIN

Other names 1

  • Delaware Dental Solutions LLC Doing business as

National Provider Directory

National Provider Directory

Locations

315 W Washington St
Muncie, IN 47305
Phone (765) 282-2265

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1588062848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W WASHINGTON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051634",
            "telephone_number": "765-282-2265",
            "fax_number": "765-282-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WASHINGTON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051634",
            "telephone_number": "765-282-2265",
            "fax_number": "765-282-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA M WATKINS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "765-282-2265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010271A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200888510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Dental Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.