Carol E. Edwards

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAROL E. EDWARDS

Doing business as

All About Braces

Practice address

1423 N Main St
Clovis, NM 88101-4747

Phone

(575) 935-4357

Fax

(575) 935-4358

NPI assigned

Nov 6, 2006

Last updated

Oct 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol Elizabeth Edwards

Title

Owner

Phone

(505) 935-4357

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• All About Braces Doing business as

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1114096138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014747",
            "telephone_number": "575-935-4357",
            "fax_number": "575-935-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014747",
            "telephone_number": "575-935-4357",
            "fax_number": "575-935-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL E. EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-935-4357",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85331783",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "NM00TB90",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha L Campos, RN
• Alexandria Canet
• Lisa Claire Cannon, MS CCC A
• Wendy Cantos
• Simon R Carian
• Cecilia Carpio Lacoursiere, MD
• Amelia Carter
• Meghann M Casarez, RN
• Seamus Casey
• Cheryl A. Cash, LPCC

• Durable Medical Equipment & Medical Supplies in Clovis, NM
• Providers in Clovis, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.