Jacob Watts, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS045002 Issued in PA

Practice address

530 Chauvet Dr
Pittsburgh, PA 15275-1050

Phone

(412) 876-8003

NPI assigned

Jun 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1790679157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 PARKVIEW BLVD APT 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152175203",
            "telephone_number": "585-794-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CHAUVET DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751050",
            "telephone_number": "412-876-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6047 Transit Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140512099",
            "country_code": "US",
            "telephone_number": "716-332-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JACOB",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "065381",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS045002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond C Watters, MD
• Blake Watterworth, LPC
• Andrew E Watts
• Andrew George Watts, MSW
• Earnestine Watts, CNA
• Jerome Watts Jr., MD
• Robin L Watts, RN
• Tristan Lum Watts, DO
• Jacob Noah Waudby
• Lauren Waugaman Skonieczny

• Pediatric Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.