NPIMap

Organization Active NPI

Moses Watson III, DDS, PA

  • Dentist
  • Durham, NC
National Provider Identifier
1821434341
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6184 Issued in NC
Legal business name
MOSES WATSON III, DDS, PA
Practice address
601 Fayetteville St
Suite 100
Durham, NC 27701-3910
Phone
(919) 688-8949
Fax
(919) 688-6068
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Ms. Nciole Sharisse Lyons
Title
Business Office Manager
Phone
(919) 688-8949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6184 NC Primary

Addresses

Primary practice location

601 Fayetteville St
Suite 100
Durham, NC 27701-3910

Mailing address

601 Fayetteville St
Suite 100
Durham, NC 27701-3910
Phone (919) 688-8949

Other names 1

  • Brush Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moses Watson III DDS PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1821434341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FAYETTEVILLE ST",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013910",
            "telephone_number": "919-688-8949",
            "fax_number": "919-688-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FAYETTEVILLE ST",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013910",
            "telephone_number": "919-688-8949",
            "fax_number": "919-688-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES WATSON III, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "NCIOLE",
        "authorized_official_middle_name": "SHARISSE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "919-688-8949",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.