Watson Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

6608 Issued in KS

Legal business name

WATSON DENTAL, LLC

Practice address

11538 W 119TH St
Overland Park, KS 66213-2002

Phone

(913) 381-4090

Fax

(913) 381-4419

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda Robin Watson, D.D.S

Title

Dentist

Phone

(913) 381-4090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lynda R. Watson, LLC Doing business as

Locations

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1679940647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11538 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-381-4090",
            "fax_number": "913-381-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11538 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-381-4090",
            "fax_number": "913-381-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "913-381-4090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "6608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15370032",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynda R. Watson, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Wathen
• Andrew Watkins, DDS
• Angelia Watkins
• Kayla Marie Watkins
• Nakisha Watkins, LPC
• Myisha A. Watson, LMSW
• Nolan Watson
• Sarah Watson
• Zachary Charles Watt, NP
• Dale Douglas Watts II II, DDS

• Dentist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.