Active NPI
Susan Louise Edwards, DDS
- General Practice Dentistry
- Murphy, TX
National Provider Identifier
1013119395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19651
- Practice address
- 324 Hampstead Dr
Murphy, TX 75094-4298 - Phone
- (469) 222-7905
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19651 | TX | Primary |
Addresses
Primary practice location
324 Hampstead Dr
Murphy, TX 75094-4298
Mailing address
324 Hampstead Dr
Murphy, TX 75094-4298
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10150756 | Other | TX | 2ND OFC DPS # |
| Y0110788 | Other | TX | 1ST DPS REG. # |
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 |
|---|---|---|---|
| 19651 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1013119395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 HAMPSTEAD DR",
"city": "MURPHY",
"state": "TX",
"postal_code": "750944298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 HAMPSTEAD DR",
"city": "MURPHY",
"state": "TX",
"postal_code": "750944298",
"telephone_number": "469-222-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SUSAN",
"middle_name": "LOUISE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2023-03-07",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2ND OFC DPS #",
"identifier": "10150756",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST DPS REG. #",
"identifier": "Y0110788",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murphy, TX
- John Neil Dukes, DC
- Mason Dukes, PT, DPT
- Duraini Dental Lounge (Advanced Dental Lounge and Implants)
- Baha Duraini, D.D.S.
- Dynami Investment Corporation (Healing Hands Compounding Pharmacy)
- Ejc Land Enterprises Inc
- Kyndall Ellis
- April Lea English, RNC-MNN, IBCLC
- Epic Medicine PLLC
- Epic Therapists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.