Organization Active NPI

Rickert, Watson, & Associates, DDS, PLLC

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1760924641
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICKERT, WATSON, & ASSOCIATES, DDS, PLLC
Practice address
9424 Falls of Neuse Road
Suite 105
Raleigh, NC 27615
Phone
(919) 760-3084
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Dr. Crystal Grace Watson, DDS
Title
Partner
Phone
(919) 760-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9424 Falls of Neuse Road
Suite 105
Raleigh, NC 27615

Mailing address

10009 Duval St
Raleigh, NC 27614-7745
Phone (919) 760-3084

Other names 1

  • Healthy Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

9424 Falls of Neuse Rd
Ste 105
Raleigh, NC 27615
Phone (919) 760-3084

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1760924641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 DUVAL ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147745",
            "telephone_number": "919-760-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 FALLS OF NEUSE ROAD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-760-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKERT, WATSON, & ASSOCIATES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-760-3084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.