Andrew Paul Watkins, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

12012291A Issued in IN

Practice address

857 S Auto Mall Rd
#4
Bloomington, IN 47401-5447

Phone

(812) 339-4400

Fax

(812) 323-2230

NPI assigned

Jun 16, 2015

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1770964785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S AUTO MALL RD",
            "address_2": "#4",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015447",
            "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": "857 S AUTO MALL RD",
            "address_2": "#4",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015447",
            "telephone_number": "812-339-4400",
            "fax_number": "812-323-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012291A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Warthan, RBT
• Cynthia Ruth Warthen
• Nancy Washburn, LMHC
• Kimberly A Wateska, MPT
• Adrienne S Watkins, RDN
• Joanna Hwang Watkins, MD
• Joshua A. Watkins, M.D.
• Thomas Worrall Watkins, DDS
• Betty U Watson, PHD
• Keith F Watson, M.D

• Dentist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.