Organization Active NPI

Higgins, Mani & Watson II DDS PA

  • General Practice Dentistry
  • Wilson, NC
National Provider Identifier
1609952738
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5977 Issued in NC
Legal business name
HIGGINS, MANI & WATSON II DDS PA
Practice address
3001B Raleigh Road Pkwy W
Ste B
Wilson, NC 27896-8213
Phone
(252) 293-4469
Fax
(252) 293-4479
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Michael Steven Watson, DDS
Title
Pres.
Phone
(252) 293-4469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5977 NC Primary

Addresses

Primary practice location

3001B Raleigh Road Pkwy W
Ste B
Wilson, NC 27896-8213

Mailing address

3001B Raleigh Road Pkwy W
Ste B
Wilson, NC 27896-8213
Phone (252) 293-4469

Other identifiers 1

IdentifierTypeStateIssuer
5900158MedicaidNC

Other names 1

  • Harrold, Higgins, Mani & Watson II DDS PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Carolina Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3001B Raleigh Road Pkwy W
Ste B
Wilson, NC 27896
Phone (252) 293-4469

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1609952738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001B RALEIGH ROAD PKWY W",
            "address_2": "STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968213",
            "telephone_number": "252-293-4469",
            "fax_number": "252-293-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001B RALEIGH ROAD PKWY W",
            "address_2": "STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968213",
            "telephone_number": "252-293-4469",
            "fax_number": "252-293-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINS, MANI & WATSON II DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "252-293-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrold, Higgins, Mani & Watson II DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 16, 2013; 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.