Active NPI
John Franklin Watkins III, DENTIST DDS
- Dentist
- Peterson AFB, CO
National Provider Identifier
1972575645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2981
- Practice address
- 110 W ENT Ave
Attn 2, 21DS/SGGD
Peterson AFB, CO 80914-1540 - Phone
- (719) 556-1333
- Fax
- (719) 556-1331
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2981 | AL | Primary |
| Dentist | 122300000X | 17623 | TX |
Addresses
Primary practice location
110 W ENT Ave
Attn 2, 21DS/SGGD
Peterson AFB, CO 80914-1540
Mailing address
110 W ENT Ave
Attn 2, DS/SGGD
Peterson AFB, CO 80914-1540
Phone (719) 556-1330
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 |
|---|---|---|---|
| 17623 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 2981 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1972575645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W ENT AVE",
"address_2": "ATTN 2, DS/SGGD",
"city": "PETERSON AFB",
"state": "CO",
"postal_code": "809141540",
"telephone_number": "719-556-1330",
"fax_number": "719-556-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W ENT AVE",
"address_2": "ATTN 2, 21DS/SGGD",
"city": "PETERSON AFB",
"state": "CO",
"postal_code": "809141540",
"telephone_number": "719-556-1333",
"fax_number": "719-556-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "JOHN",
"middle_name": "FRANKLIN",
"name_suffix": "III",
"credential": "DENTIST DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "2981",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "17623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peterson AFB, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.