Individual provider Active NPI

Arnold Watkin, DDS

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1720282551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
12689 Issued in MA
Practice address
60 Federal St
Boston, MA 02110-2510
Phone
(617) 423-6165
Fax
(617) 426-0006
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 12689 MA Primary

Addresses

Primary practice location

60 Federal St
Boston, MA 02110-2510

Mailing address

60 Federal St
Boston, MA 02110-2510
Phone (617) 423-6165

Other identifiers 1

IdentifierTypeStateIssuer
1790838225OtherMAGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527001856 MA Order and Referring Only - DentistPractitioner - Dentist 0749500056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12689MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Watkinosorio Dental Associates Past Accepting new patients
Osorio South Boston Dental Group DMD PC Prosthodontics Past Accepting new patients

Organizations & group practices 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720282551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FEDERAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102510",
            "telephone_number": "617-423-6165",
            "fax_number": "617-426-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FEDERAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102510",
            "telephone_number": "617-423-6165",
            "fax_number": "617-426-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKIN",
        "first_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "12689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1790838225",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.