M. Grace Mapili Edwards, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3579 Issued in AR

Practice address

16115 Saint Vincent Way Ste 110
Little Rock, AR 72223-3001

Phone

(501) 817-3157

Fax

(501) 817-3060

NPI assigned

Dec 4, 2006

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Feb 3, 2016 through Feb 3, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace M. Edwards DMD, PA

  • Dentist
  • Little Rock, AR
  • NPI 1386872075
  NPD
• Dr. Shirley Reid, DDS

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1184091084
  NPD (past)
• Michael L Pohlkamp DDS PA

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1154789121
  NPD (past)
• Reid Family Dentistry PLLC

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1568092856
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1114085024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233001",
            "telephone_number": "501-817-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233001",
            "telephone_number": "501-817-3157",
            "fax_number": "501-817-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "M. GRACE",
        "middle_name": "MAPILI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Finley Edwards, CRNA
• Karen Edwards
• Kathy Edwards, MHP
• Lauren Randalle Edwards, M.D.
• Linda Savary Edwards, M.S., CCC-SLP
• Mark Edwards, PHD
• Michelle Rogena Edwards
• Paul Kendall Edwards, MD
• Randy Edwards
• Raymond William Edwards, M.D.

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.