Individual provider Active NPI

David Michael Watts, M.D.

  • Surgery Physician
  • Provo, UT
National Provider Identifier
1700932068
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6628746-1205 Issued in UT
Practice address
3550 N University Ave
Suite 250
Provo, UT 84604-6683
Phone
(801) 374-9625
Fax
(801) 373-7506
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00039920 WA
Surgery Physician 208600000X 6628746-1205 UT Primary

Addresses

Primary practice location

3550 N University Ave
Suite 250
Provo, UT 84604-6683

Mailing address

3550 N University Ave
Suite 250
Provo, UT 84604-6683
Phone (801) 374-9625

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.watts@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6628746-1205UTMDSurgery Physician
MD00039920WAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1700932068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE",
            "address_2": "SUITE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046683",
            "telephone_number": "801-374-9625",
            "fax_number": "801-373-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE",
            "address_2": "SUITE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046683",
            "telephone_number": "801-374-9625",
            "fax_number": "801-373-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00039920",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "6628746-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.watts@direct.imail.org",
            "affiliation": "N",
            "address_1": "3550 N University Ave",
            "address_2": "Suite 250",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846046683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.