Individual provider Active NPI

Daniel Lee Watson, M.D.

  • Urology Physician
  • Charlotte, NC
National Provider Identifier
1689618225
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9600768 Issued in NC
Practice address
325 Hawthorne LN Ste 300
Charlotte, NC 28204-2433
Phone
(704) 372-5180
Fax
(704) 337-8387
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9600768 NC Primary

Addresses

Primary practice location

325 Hawthorne LN Ste 300
Charlotte, NC 28204-2433

Mailing address

PO Box 36488
Charlotte, NC 28236-6488
Phone (704) 248-3400

Other identifiers 4

IdentifierTypeStateIssuer
85978OtherNCBCBS NC INDI PROVIDER #
2226491DOtherNCNORTH CAROLINA MEDICARE #
24235OtherNCPARTNERS MCRE PROV#
340016943OtherNCRAILROAD MCRE PROV#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070831000144 NC Practitioner - Urology 5890729891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9600768NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Institute of the Carolinas LLC Urology CurrentSince Aug 1, 1996 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1689618225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36488",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282366488",
            "telephone_number": "704-248-3400",
            "fax_number": "704-337-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HAWTHORNE LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042433",
            "telephone_number": "704-372-5180",
            "fax_number": "704-337-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9600768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC INDI PROVIDER #",
            "identifier": "85978",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICARE #",
            "identifier": "2226491D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MCRE PROV#",
            "identifier": "24235",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCRE PROV#",
            "identifier": "340016943",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.