Active NPI
Ian P. Ward, DMD
- General Practice Dentistry
- Watertown, NY
National Provider Identifier
1881763381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048320
- Practice address
- 825 Washington St
Watertown, NY 13601 - Phone
- (315) 788-4750
- Fax
- (315) 788-1286
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048320 | NY | Primary |
Addresses
Primary practice location
825 Washington St
Watertown, NY 13601
Mailing address
825 Washington St
Watertown, NY 13601
Phone (315) 788-4750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048320 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1881763381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601",
"telephone_number": "315-788-4750",
"fax_number": "315-788-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601",
"telephone_number": "315-788-4750",
"fax_number": "315-788-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "IAN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.