Dennis Edmonds, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5415 Issued in WA

Practice address

219 N 10TH St
Mount Vernon, WA 98273-3330

Phone

(360) 336-6193

Fax

(360) 336-6195

NPI assigned

Nov 25, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Dennis a Edmonds DDS Inc PS

  • Dentist
  • Mount Vernon, WA
  • NPI 1932100013
  NPD (past) Authorized official
• Whitney Forsythe DMD & Nick Forsythe DMD PLLC

  • Dental Clinic/Center
  • Mount Vernon, WA
  • NPI 1437634672
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1023448248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N 10TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733330",
            "telephone_number": "360-336-6193",
            "fax_number": "360-336-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N 10TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733330",
            "telephone_number": "360-336-6193",
            "fax_number": "360-336-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1932100013",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Scott Eberhardt, O.D.
• Claudia Lee Ebsworth, RPH
• Cali Echevarria
• Maria Eckert, N.D.
• Edge Medical Services
• Bonnie Edwards, M.S., G.M.H.S.
• Nicole M. Edwards, M.A.
• Timothy Eilers, CDMS
• Jerry D. Eisner, MD
• Randolph Lee Elde, RPH, CDE

• Dentist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.