NPIMap

Organization Active NPI

Justin S Edwards DMD MSD PLC

  • Pediatric Dentistry
  • Fredericksburg, VA
National Provider Identifier
1043624505
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
041413260 Issued in VA
Legal business name
JUSTIN S EDWARDS DMD MSD PLC
Practice address
1300 Thornton St
Fredericksburg, VA 22401-4654
Phone
(540) 371-3222
Fax
(540) 371-9539
NPI assigned
Jun 12, 2014
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Dr. Justin Edwards, D.M.D, M.S.DNPI 1699906255
Title
Organizer
Phone
(509) 434-9364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 041413260 VA Primary

Addresses

Primary practice location

1300 Thornton St
Fredericksburg, VA 22401-4654

Mailing address

3618 Lenox Forest Dr
Midlothian, VA 23113-3771
Phone (509) 434-9364

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1043624505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LENOX FOREST DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133771",
            "telephone_number": "509-434-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-3222",
            "fax_number": "540-371-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN S EDWARDS DMD MSD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "509-434-9364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "041413260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.