Organization Active NPI

Dr John Q Watson DDS Msco PA

  • Dentist
  • Wilson, NC
National Provider Identifier
1609945344
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3840 Issued in NC
Legal business name
DR JOHN Q WATSON DDS MSCO PA
Practice address
2250 Nash St N
Wilson, NC 27896
Phone
(252) 291-5977
Fax
(252) 234-0370
NPI assigned
Nov 7, 2006
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. John Quantock Watson, DDSNPI 1639363146
Title
President
Phone
(252) 291-5977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3840 NC Primary

Addresses

Primary practice location

2250 Nash St N
Wilson, NC 27896

Mailing address

2250 Nash St N
Wilson, NC 27896
Phone (252) 291-5977

Other identifiers 1

IdentifierTypeStateIssuer
7998953MedicaidNC

National Provider Directory

National Provider Directory

Locations

2250 Nash St N
Wilson, NC 27896
Phone (252) 291-5977

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1609945344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-291-5977",
            "fax_number": "252-234-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-291-5977",
            "fax_number": "252-234-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN Q WATSON DDS MSCO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "QUANTOCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-291-5977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "3840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7998953",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.