Active NPI
Courtney P Edwards, D.D.S
- Dentist
- Germantown, TN
National Provider Identifier
1114247350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10413
- Practice address
- 7938 Wolf River Blvd
Germantown, TN 38138-1725 - Phone
- (901) 754-3117
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4026-18 | MS | |
| Dentist | 122300000X | 8943 | NC | |
| Dentist | 122300000X | 10413 | TN | Primary |
Addresses
Primary practice location
7938 Wolf River Blvd
Germantown, TN 38138-1725
Mailing address
7938 Wolf River Blvd
Germantown, TN 38138-1725
Phone (901) 754-3117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4026-18 | MS | MD | Dentist |
| 8943 | NC | MD | Dentist |
| 10413 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edp of Tennessee PC | Past | Accepting new patients | |
| S. W. Webber D.D.S., P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1649289760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1114247350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7938 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381725",
"telephone_number": "901-754-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7938 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381725",
"telephone_number": "901-754-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "COURTNEY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "4026-18",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8943",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.