Organization Active NPI

Steven E. Watts DDS Inc

  • Dental Clinic/Center
  • Warren, OH
National Provider Identifier
1982800066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14994 Issued in OH
Legal business name
STEVEN E. WATTS DDS INC
Practice address
542 Niles Cortland Rd SE
Warren, OH 44484-2474
Phone
(330) 856-3320
Fax
(330) 856-7912
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Echols Watts, DDSNPI 1033164710
Title
President
Phone
(330) 856-3320

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 14994 OH Primary

Addresses

Primary practice location

542 Niles Cortland Rd SE
Warren, OH 44484-2474

Mailing address

542 Niles Cortland Rd SE
Warren, OH 44484-2474
Phone (330) 856-3320

Other identifiers 1

IdentifierTypeStateIssuer
0700914MedicaidOH

National Provider Directory

National Provider Directory

Locations

542 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 856-3320

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982800066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842474",
            "telephone_number": "330-856-3320",
            "fax_number": "330-856-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842474",
            "telephone_number": "330-856-3320",
            "fax_number": "330-856-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E. WATTS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ECHOLS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-856-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "14994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700914",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.