Robert Raymond Watts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14480 Issued in MI

Practice address

1284 W Grand River Rd
Williamston, MI 48895-9374

Phone

(517) 655-2993

Fax

(517) 655-1380

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert R. Watts, DDS, PLLC

  • Dental Clinic/Center
  • Williamston, MI
  • NPI 1205433760
  NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659459725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 W GRAND RIVER RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959374",
            "telephone_number": "517-655-2993",
            "fax_number": "517-655-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 W GRAND RIVER RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959374",
            "telephone_number": "517-655-2993",
            "fax_number": "517-655-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ROBERT",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Urban, LMSW
• Douglas R Vanderjagt, D.O.
• Wayne Charles Vaupel, ATC, NSCA-CPT
• Vita Counseling Services
• Shelly Renee Vliet, NURSE PRACTITIONER
• Carol Z Way, LMSW
• William T Mangan Jr, DO PLLC (Family Healt h Center of Williamston, PLLC)
• Williamston Compassionate Care
• Williamston Sport and Spine Chiropractic Clinic (Williamston Sport and Spine Chiropractic)
• Williamston Wellness PLLC

• General Practice Dentistry in Williamston, MI
• Providers in Williamston, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.