Active NPI
James Dustin Watts, D.M.D.
- Endodontics
- Flowood, MS
National Provider Identifier
1902028467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3143-00
- Practice address
- 201 E Layfair Dr
Suite 120
Flowood, MS 39232-7604 - Phone
- (601) 664-1855
- Fax
- (601) 664-1856
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3143-00 | MS | Primary |
| Endodontics | 1223E0200X | 0401411945 | VA |
Addresses
Primary practice location
201 E Layfair Dr
Suite 120
Flowood, MS 39232-7604
Mailing address
201 E Layfair Dr
Suite 120
Flowood, MS 39232-7604
Phone (601) 664-1855
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 |
|---|---|---|---|
| 3143-00 | MS | MD | Endodontist |
| 0401411945 | VA | MD | Endodontist |
Interoperability endpoints
- jwatts158213@ummc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1902028467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E LAYFAIR DR",
"address_2": "SUITE 120",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327604",
"telephone_number": "601-664-1855",
"fax_number": "601-664-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E LAYFAIR DR",
"address_2": "SUITE 120",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327604",
"telephone_number": "601-664-1855",
"fax_number": "601-664-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "JAMES",
"middle_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "3143-00",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401411945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.