Jonathon Edwards

Primary specialty

DentistTaxonomy code 122300000X

License

D009375 Issued in AZ

Practice address

1327 S Nielson St
Gilbert, AZ 85296-4265

Phone

(480) 868-1864

NPI assigned

Mar 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rae Lakes, LLC

  • Dental Clinic/Center
  • Gilbert, AZ
  • NPI 1407560675
  NPD Authorized official
• Bismark Lake LLC

  • Dental Clinic/Center
  • Goodyear, AZ
  • NPI 1285576058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1013377829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 S NIELSON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 S NIELSON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964265",
            "telephone_number": "480-868-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JONATHON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Edwards
• David Edwards, LPC
• David B Edwards, MD
• Ellison Amy Edwards
• Jennifer Edwards, LPC
• Kevin Edwards, PHARMACIST
• Wilma Egan, FNP
• Jace Egbert, PA
• Erica Lee Egnew, CCC-SLP
• Paloma Suzanne Eivazians

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.