DR. DOUGLAS T. WATANABE DDS
NPI 1467565416
Dentist - General Practice in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since August 16, 2006PECOS Enrolled

2821 N BALLAS RD, SUITE 140, SAINT LOUIS, MO 63131(314) 432-5544(314) 432-7815 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Douglas T. Watanabe Dds NPPES

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

DR. DOUGLAS T. WATANABE DDS (NPI 1467565416) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (11564) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467565416

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DOUGLAS T. WATANABECredential: DDS

Location Address2821 N BALLAS RD, SUITE 140Saint Louis, MO 63131-2321

Mailing Address2821 N Ballas Rd, Suite 140Saint Louis, MO 63131-2321 · (314) 432-5544 · Fax (314) 432-7815

Phone(314) 432-5544

Fax(314) 432-7815

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467565416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 11564

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.

2821 N BALLAS RD, Saint Louis, MO 63131

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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. Douglas T. Watanabe Dds 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 63131 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.