Active NPI
Margaretta Earlisa Watkins-Tarver, D.M.D.
- Pediatric Dentistry
- Stone Mountain, GA
National Provider Identifier
1922391630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN013965
- Practice address
- 5830 Millstone Run
Stone Mountain, GA 30087-1827 - Phone
- (404) 451-5690
- NPI assigned
- May 27, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN013965 | GA | Primary |
| Pediatric Dentistry | 1223P0221X | P70713 | NY |
Addresses
Primary practice location
5830 Millstone Run
Stone Mountain, GA 30087-1827
Mailing address
5830 Millstone Run
Stone Mountain, GA 30087-1827
Phone (404) 451-5690
Other names 1
- Dr. Margaretta Watkins Tarver
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013965 | GA | MD | Pediatric Dentist |
| P70713 | NY | MD | Pediatric Dentist |
| 055669 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1922391630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 MILLSTONE RUN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300871827",
"telephone_number": "404-451-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 MILLSTONE RUN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300871827",
"telephone_number": "404-451-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS-TARVER",
"first_name": "MARGARETTA",
"middle_name": "EARLISA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN013965",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "P70713",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARETTA",
"last_name": "TARVER",
"middle_name": "WATKINS",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.