Organization Active NPI

James Watson DDS PLLC

  • Dental Clinic/Center
  • Southfield, MI
National Provider Identifier
1972026847
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16288 Issued in MI
Legal business name
JAMES WATSON DDS PLLC
Practice address
20307 W 12 Mile Rd Ste 106
Southfield, MI 48076-5407
Phone
(248) 355-9800
Fax
(248) 355-9850
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. James Watson, DDSNPI 1346456217
Title
Owner/Employee
Phone
(248) 355-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 16288 MI Primary

Addresses

Primary practice location

20307 W 12 Mile Rd Ste 106
Southfield, MI 48076-5407

Mailing address

4850 Briarwood Ave # Condo8
Royal Oak, MI 48073-1355
Phone (734) 649-5200

Other practice location 1

1414 S Main St
Chelsea, MI 48118-1497
Phone (734) 475-8800

Other identifiers 1

IdentifierTypeStateIssuer
1346456217OtherMY NPI TYPE 1

Other names 1

  • James Watson DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1414 S Main St
Chelsea, MI 48118
Phone (734) 475-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1972026847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BRIARWOOD AVE # CONDO8",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731355",
            "telephone_number": "734-649-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-355-9800",
            "fax_number": "248-355-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181497",
            "country_code": "US",
            "telephone_number": "734-475-8800",
            "fax_number": "734-475-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES WATSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "248-355-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "16288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY NPI TYPE 1",
            "identifier": "1346456217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Watson DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.