Thomas Worrall Watkins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007821 Issued in IN

Practice address

839 S Auto Mall Rd
Suite F
Bloomington, IN 47401-5484

Phone

(812) 339-4400

Fax

(812) 323-2230

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Thomas W Watkins DDS LLC

  • Dental Clinic/Center
  • Bloomington, IN
  • NPI 1801991302
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720183205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S AUTO MALL RD",
            "address_2": "SUITE F",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015484",
            "telephone_number": "812-339-4400",
            "fax_number": "812-323-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S AUTO MALL RD",
            "address_2": "SUITE F",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015484",
            "telephone_number": "812-339-4400",
            "fax_number": "812-323-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "THOMAS",
        "middle_name": "WORRALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Wateska, MPT
• Adrienne S Watkins, RDN
• Andrew Paul Watkins, D.D.S
• Joanna Hwang Watkins, MD
• Joshua A. Watkins, M.D.
• Betty U Watson, PHD
• Keith F Watson, M.D
• Madolin Elizabeth Watson, NP
• Andrew Kyle Watters, MD
• Hayden David James Watters, RBT

• General Practice Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.