Claude Reynolds Edwards Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8150 Issued in FL

Practice address

2509 Park Dr
Sanford, FL 32773-5106

Phone

(407) 322-6052

Fax

(407) 322-6059

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sanford Family Dentistry

  • Dental Clinic/Center
  • Sanford, FL
  • NPI 1912859414
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164511598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PARK DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735106",
            "telephone_number": "407-322-6052",
            "fax_number": "407-322-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PARK DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735106",
            "telephone_number": "407-322-6052",
            "fax_number": "407-322-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CLAUDE",
        "middle_name": "REYNOLDS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivonne Margarita Duty, LPN
• Kelli S. Eaton, M.S,,CCC-SLP
• Stephanie Lourdes Echeverria, DO, MPH
• Lori Anne Eckenrode, M.A., CCC-SLP
• Peter Seth Edelstein, MD
• David William Edwards, D.M.D.
• George W Edwards, DMD
• Carla Alexis Ehlers, MSW, RBT
• Jessica Anne Ehlers, MS,CCC-SLP
• Beyan El-Emin, M.D

• General Practice Dentistry in Sanford, FL
• Providers in Sanford, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.