Wiley Edwards Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10992 Issued in NC

Practice address

308 N Taylor St
Goldsboro, NC 27530-4022

Phone

(252) 361-7007

NPI assigned

May 26, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wiley L Edwards Jr DDS PLLC

  • General Practice Dentistry
  • Kinston, NC
  • NPI 1679294946

  General Practice

  NPD Authorized official
• Wiley L. Edwards Jr. DDS Wilmington PLLC

  • Dentist
  • Wilmington, NC
  • NPI 1508618588
  NPD Authorized official

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1043701972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MARSHBURN CIR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285041914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N TAYLOR ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304022",
            "telephone_number": "252-361-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WILEY",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Elaine Edmundson, NP
• Edwards Behavioral Health Services Inc
• Candra Nikita Edwards
• Shana Edwards, CRNA
• Vance H Edwards, M.D.
• Edwargroup,LLC
• Adekunbi Etseogboya Egwakhe, MD
• Bryan Allen Ehlert, MD
• Arit Niger-Thomas Ekobena
• Elbert L. Johnson, D.D.S., M.P.H.,P.a.

• All providers in Goldsboro, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; 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.