Organization Active NPI

Watkins Dentistry, LLC

  • General Practice Dentistry
  • Washington, IN
National Provider Identifier
1831917871
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WATKINS DENTISTRY, LLC
Practice address
418 S State Road 57
Washington, IN 47501-4027
Phone
(812) 254-7922
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Dr. Haviland Joy Watkins, DMDNPI 1316399959
Title
Owner
Phone
(812) 783-9542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

418 S State Road 57
Washington, IN 47501-4027

Mailing address

418 S State Road 57
Washington, IN 47501-4027
Phone (812) 254-7922

Other identifiers 1

IdentifierTypeStateIssuer
1316399959MedicaidIN

National Provider Directory

National Provider Directory

Locations

418 S State Road 57
Washington, IN 47501
Phone (812) 254-7922

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1831917871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014027",
            "telephone_number": "812-254-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014027",
            "telephone_number": "812-254-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "HAVILAND",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-783-9542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316399959",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.