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DR. C. D. WATSON D.D.S.
NPI 1255581633
Dentist in Chicago, IL

Active since September 23, 2008Opted out of Medicare · through Nov 20, 2026
8325 S STONY ISLAND AVE, CHICAGO, IL 60617(773) 768-3100 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. C. D. Watson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. C. D. WATSON D.D.S. (NPI 1255581633) is an individual dentist in Chicago, Illinois, licensed in Illinois (019020850) and active in the NPI registry since September 2008. She has opted out of Medicare through November 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255581633
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. C. D. WATSONCredential: D.D.S.
Location Address8325 S STONY ISLAND AVEChicago, IL 60617-1758
Mailing Address8325 S Stony Island AveChicago, IL 60617-1758 · (773) 768-3100
Phone(773) 768-3100
Sole ProprietorNo
Enumeration DateSeptember 23, 2008
✔ NPI 1255581633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019020850
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8325 S STONY ISLAND AVE, Chicago, IL 60617
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. C. D. Watson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2016 through November 20, 2026.

Opt-Out Effective DateNovember 20, 2016
Opt-Out In Effect ThroughNovember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

C.E.WATSON D.D.S. LTD.
Dentist (General Practice)
8325 S STONY ISLAND AVE
CHICAGO, IL 60617
Cook County (773) 768-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C. Watson's NPI number?

The NPI number for C. Watson is 1255581633. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is C. Watson located?

C. Watson practices at 8325 S Stony Island Ave, Chicago, IL 60617. The listed phone number is (773) 768-3100.

What is C. Watson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is C. Watson enrolled in Medicare?

No. C. Watson has opted out of Medicare through November 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for C. Watson was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.