Thomas W Watkins DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12007821 Issued in IN

Legal business name

THOMAS W WATKINS DDS LLC

Practice address

839 S Auto Mall Rd
Suite F
Bloomington, IN 47401-5484

Phone

(812) 339-4400

Fax

(812) 323-2230

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas W Watkins, DDSNPI 1720183205

Title

Member

Phone

(812) 339-4400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas Worrall Watkins, DDS

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1720183205
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801991302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S AUTO MALL RD",
            "address_2": "SUITE F",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015484",
            "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": "839 S AUTO MALL RD",
            "address_2": "SUITE F",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015484",
            "telephone_number": "812-339-4400",
            "fax_number": "812-323-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W WATKINS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-339-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemitha Theodule, RBT
• Grace Theofanis
• Theraplay LLC
• Ngun Thluai
• Pradeep Reddy Thodima, MD
• Bruce Metzgar Thomas, MD
• Connor Thomas, DC
• Emily Thomas, AU.D.
• Harley Danielle Thomas, NP
• Jack E. Thomas, PH.D.

• Dental Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Dental Clinic/Center in Indiana

• 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.