Michael D Edwards, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3496 Issued in AL

Practice address

449 Main St North
Wedowee, AL 36278

Phone

(256) 357-2882

Fax

(256) 357-2883

NPI assigned

Mar 13, 2007

Sex

Male

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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.

• Michael D. Edwards, D.M.D.,P.C.

  • General Practice Dentistry
  • Wedowee, AL
  • NPI 1376893271

  General Practice

  NPD (past) Authorized official
• Lake Wedowee Dental

  • Dental Clinic/Center
  • Wedowee, AL
  • NPI 1346139318
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164555918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362780370",
            "telephone_number": "256-357-2882",
            "fax_number": "256-357-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MAIN ST NORTH",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "36278",
            "telephone_number": "256-357-2882",
            "fax_number": "256-357-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanda Cotney, CRNP
• Richard Daniel, CRNP
• Sarah Vanecia Davidson, CNP
• DMTT LLC
• DMTT LLC
• Elite Rehab Wedowee LLC
• Family Pharmacy Inc
• H&M Drugs, Inc.
• Harris Lake Emergency Physicians LLC
• Dave A Harvey, LCSW

• All providers in Wedowee, AL
• General Practice Dentistry in Alabama

• 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.