Active NPI
Terry L Watson, D.M.D.
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1831178011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3186
- Practice address
- 310 23Rd Ave N
Suite 101
Nashville, TN 37203-1525 - Phone
- (615) 320-3210
- Fax
- (615) 329-8931
- NPI assigned
- Jan 16, 2006
- Last updated
- Aug 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3186 | AR | Primary |
| General Practice Dentistry | 1223G0001X | 8932 | TN |
Addresses
Primary practice location
310 23Rd Ave N
Suite 101
Nashville, TN 37203-1525
Mailing address
310 23Rd Ave N
Suite 101
Nashville, TN 37203-1525
Phone (615) 320-3210
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 883850 | Other | AR | UNITED CONCORDIA PROVIDER |
| 5T381 | Other | AR | FEDERAL BCBS |
| 710854906 | Other | AR | PROVIDER ID NUMBER |
| 134741608 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618002222 | AR | Order and Referring Only - Dentist | 4183935083 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3186 | AR | MD | Speech-Language Pathologist |
| 8932 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael P Tabor D D S PLLC | General Practice | Past | Accepting new patients |
| TL Watson DMD PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Nashville, TN
- NPI 1285095281
-
- General Practice Dentistry
- Nashville, TN
- NPI 1740734714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470528000000",
"number": "1831178011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 23RD AVE N",
"address_2": "SUITE 101",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031525",
"telephone_number": "615-320-3210",
"fax_number": "615-329-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 23RD AVE N",
"address_2": "SUITE 101",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031525",
"telephone_number": "615-320-3210",
"fax_number": "615-329-8931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TERRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2016-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3186",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8932",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "883850",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BCBS",
"identifier": "5T381",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID NUMBER",
"identifier": "710854906",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134741608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; 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.