Active NPI
Andrew Edmonds, D.M.D.
- General Practice Dentistry
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31946
- Practice address
- 4405 Williams Dr Ste 300
Georgetown, TX 78628-1383 - Phone
- (512) 855-7308
- NPI assigned
- Jul 5, 2016
- Last updated
- Apr 27, 2022
- Sex
- Male
- 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 | 31946 | TX | Primary |
Addresses
Primary practice location
4405 Williams Dr Ste 300
Georgetown, TX 78628-1383
Mailing address
4405 Williams Dr Ste 300
Georgetown, TX 78628-1383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Western University of Health Sciences College of Dental Med, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4405 Williams Dr
Suite 300
Georgetown, TX 78628-1391
Phone (512) 215-4350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31946 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Austin Treatment PLLC | Current | Accepting new patients | |
| Sleep Better Austin Treatment, PLLC | Current | Accepting new patients | |
| Andrew Edmonds, DMD, PLLC | General Practice | Current | Accepting new patients |
| Sleep Better Austin Treatment PLLC | Past | Accepting new patients | |
| Sleep Better Austin Treatment PLLC | Past | Accepting new patients | |
| Sleep Better Austin Treatment PLLC | Past | Accepting new patients |
Locations
1600 W 38th St
Ste 407
Austin, TX 78731
Phone (512) 722-6075
4009 Banister Ln
Ste 370
Austin, TX 78704
Phone 5122154350402
5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909
5920 W William Cannon Dr
Ste 210
Austin, TX 78749
4405 Williams Dr
Ste 300
Georgetown, TX 78628
Phone (512) 686-2525
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba sleepbetteraustin.com
- Customized Equipment (DME)
- Austin, TX
- NPI 1164890323
-
dba 4405 Dental Studio
- Dental Clinic/Center
- Georgetown, TX
- NPI 1659846970
General Practice
-
- Customized Equipment (DME)
- Killeen, TX
- NPI 1063208700
-
- Customized Equipment (DME)
- Cedar Park, TX
- NPI 1497360911
-
dba Sleep Better Austin Treatment
- Customized Equipment (DME)
- Georgetown, TX
- NPI 1629635800
-
- Customized Equipment (DME)
- Austin, TX
- NPI 1962040303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1063864965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 WILLIAMS DR STE 300",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 WILLIAMS DR STE 300",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281383",
"telephone_number": "512-855-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2022-04-27",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- E & S Management LLC (My EyeLab)
- E Medical Group of College Station, LLC (Angels Care Home Health of College Station)
- Eagle Eye Center
- Easter Medical Management Inc
- Ebn Physician Services, PLLC
- Eh Home Health of Austin, LLC (Enhabit Home Health)
- Nancy J Eisen, DO
- Rebecca Elam
- Elevate Mental Health PLLC
- Andre Jamal Ellis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.