John Ryan Watson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043614 Issued in PA

Practice address

511 N Providence Rd
Media, PA 19063-2599

Phone

(610) 565-0525

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1902535354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DRESSAGE CT",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072505",
            "telephone_number": "302-824-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632599",
            "telephone_number": "610-565-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOHN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Walls, PT
• Erin Michelle Walsh, NP
• Katharine Elizabeth Miller Walsh, CET I
• Tsailing Wang, MD
• Michael Adam Waronker, DO
• We Care Senior Services, Inc. (Comforcare Senior Services)
• Lawrence Paul Wean, MD
• Denise A Webb, M.D.
• Hunter Weidner, RBT
• Debra Amelia Weigl, MSW

• General Practice Dentistry in Media, PA
• Providers in Media, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.