Individual provider Active NPI

Benjamin Thomas Watson III, D.D.S.

  • General Practice Dentistry
  • Newport News, VA
National Provider Identifier
1881708113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006222 Issued in VA
Practice address
729 Thimble Shoals Blvd
Suite 7E
Newport News, VA 23606-4217
Phone
(757) 873-3322
Fax
(757) 873-8407
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006222 VA Primary

Addresses

Primary practice location

729 Thimble Shoals Blvd
Suite 7E
Newport News, VA 23606-4217

Mailing address

729 Thimble Shoals Blvd
Suite 7E
Newport News, VA 23606-4217
Phone (757) 873-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160201001795 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466756101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401006222VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin T. Watson, III, DDS, PLC General Practice Past Accepting new patients
Benjamin T. Watson, III, DDS, PLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881708113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 7E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064217",
            "telephone_number": "757-873-3322",
            "fax_number": "757-873-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 7E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064217",
            "telephone_number": "757-873-3322",
            "fax_number": "757-873-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.