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DR. KWANE MITCHELL WATSON DMD
NPI 1316099500
Dentist - General Practice in Louisville, KY

Active since January 17, 2007PECOS Enrolled
2500 W BROADWAY, LOUISVILLE, KY 40211(502) 776-1754 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Jun 17, 2020 (2 updates tracked since 2020).

About Dr. Kwane Mitchell Watson Dmd NPPES

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

DR. KWANE MITCHELL WATSON DMD (NPI 1316099500) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (7483) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316099500
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KWANE MITCHELL WATSONCredential: DMD
Location Address2500 W BROADWAYLouisville, KY 40211-1081
Mailing Address5906 Worthington WayProspect, KY 40059-8554 · (502) 523-2347
Phone(502) 776-1754
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1316099500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 7483
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2500 W BROADWAY, Louisville, KY 40211
Open in Google Maps ↗

Other Identifiers 1

Medicaid60000072KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kwane Mitchell Watson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40211 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 9

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

KHANOS LLC
Dentist
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (800) 787-2812
DIVINE CARE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 523-2347
THERAPY HERO
Physical Therapist
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 930-9638
MARYANA HILAL DMD
Dentist
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 776-1754
CHERYL T. ADAMS MD
Pediatrics
2500 W BROADWAY, SUITE 200 ATTN: CYPRESS MEDICAL ASSOCIATES PSC
LOUISVILLE, KY 40211
Jefferson County (502) 774-6100
WATSON PSC DBA WEST LOUISVILLE DENTAL CENTER
Dentist
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 776-1754
THERAPY HERO PLLC
Occupational Therapist
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (682) 249-9820
DR. JOSHUA JAMES MCALPIN DMD
Dentist
2500 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 931-9642

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 Kwane Watson's NPI number?

The NPI number for Kwane Watson is 1316099500. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Kwane Watson located?

Kwane Watson practices at 2500 W Broadway, Louisville, KY 40211. The listed phone number is (502) 776-1754.

What is Kwane Watson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kwane Watson enrolled in Medicare?

Yes. Kwane Watson is registered in the Medicare PECOS enrollment system.

What insurance does Kwane Watson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Kwane Watson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kwane Watson was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.