Dr. Samuel L. Watts D.D.S., M.S., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

3115 Issued in TN

Legal business name

DR. SAMUEL L. WATTS D.D.S., M.S., P.A.

Practice address

5101 Sanderlin Ave Ste 108
Memphis, TN 38117-4363

Phone

(901) 767-6320

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Prof. Leila Lancaster

Title

Office Manager

Phone

(901) 767-6320

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Samuel L Watts, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Memphis, TN
  • NPI 1518956945
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760540702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SANDERLIN AVE STE 108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174363",
            "telephone_number": "901-767-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SANDERLIN AVE STE 108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174363",
            "telephone_number": "901-767-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SAMUEL L. WATTS D.D.S., M.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-767-6320",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENN CARE PROVIDER ID",
            "identifier": "0015173",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENN CARE PAYEE ID",
            "identifier": "012617",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth R Drain, LPC

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.