Individual provider Active NPI

Terry L Watson, D.M.D.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1831178011
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3186 Issued in AR
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
883850OtherARUNITED CONCORDIA PROVIDER
5T381OtherARFEDERAL BCBS
710854906OtherARPROVIDER ID NUMBER
134741608MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618002222 AR Order and Referring Only - DentistPractitioner - Dentist 4183935083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3186ARMDSpeech-Language Pathologist
8932TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.