NPIMap

Organization Active NPI

Renee E Watts DDS PC

  • Dentist
  • Springfield, OR
National Provider Identifier
1700184751
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7573 Issued in OR
Legal business name
RENEE E WATTS DDS PC
Practice address
1040 Gateway Loop Ste B
Springfield, OR 97477-1196
Phone
(541) 465-9821
Fax
(541) 988-1825
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Dr. Renee Watts, D.D.S.NPI 1568469393
Title
Owner
Phone
(541) 465-9821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D7573 OR Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1040 Gateway Loop Ste B
Springfield, OR 97477-1196

Mailing address

1040 Gateway Loop Ste B
Springfield, OR 97477-1196
Phone (541) 465-9821

Other names 1

  • ArDent Care Doing business as

National Provider Directory

National Provider Directory

Locations

1040 Gateway Loop
Ste B
Springfield, OR 97477
Phone (541) 465-9821

498 Harlow Rd
Ste 1
Springfield, OR 97477
Phone (541) 465-9821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1700184751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GATEWAY LOOP STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771196",
            "telephone_number": "541-465-9821",
            "fax_number": "541-988-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GATEWAY LOOP STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771196",
            "telephone_number": "541-465-9821",
            "fax_number": "541-988-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE E WATTS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-465-9821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7573",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ArDent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ArDent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.