Individual provider Active NPI

Margaretta Earlisa Watkins-Tarver, D.M.D.

  • Pediatric Dentistry
  • Stone Mountain, GA
National Provider Identifier
1922391630
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013965 Issued in GA
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

Updated by the provider on May 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
DN013965GAMDPediatric Dentist
P70713NYMDPediatric Dentist
055669NYMDPharmacist

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.

Verify at the official NPI Registry.