Active NPI
Brenda K Edwards, OMT
- Dental Hygienist
- Holly Springs, NC
National Provider Identifier
1124903919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5099
- Practice address
- 400 Forest Haven Dr
Holly Springs, NC 27540-4404 - Phone
- (740) 424-3630
- NPI assigned
- Aug 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 5099 | NC | |
| Dental Hygienist | 124Q00000X | 5099 | NC | Primary |
Addresses
Primary practice location
400 Forest Haven Dr
Holly Springs, NC 27540-4404
Mailing address
400 Forest Haven Dr
Holly Springs, NC 27540-4404
Phone (740) 424-3630
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 |
|---|---|---|---|
| 5099 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756598400000",
"number": "1124903919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FOREST HAVEN DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404404",
"telephone_number": "740-424-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FOREST HAVEN DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404404",
"telephone_number": "740-424-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "BRENDA",
"middle_name": "K",
"credential": "OMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-09",
"last_updated": "2025-08-31",
"certification_date": "2025-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NC",
"license": "5099",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "5099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.