David M. Edwards, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

533 Issued in AK

Practice address

3330 Windlass Cir
Anchorage, AK 99516-3438

Phone

(907) 345-7148

NPI assigned

Jul 20, 2006

Last updated

Aug 9, 2012By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alaska Oral Surgery Group, P.C.

  dba Alaska Oral Surgery Group

  • Oral and Maxillofacial Surgery (Dentist)
  • Eagle River, AK
  • NPI 1689810707
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1194745570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 WINDLASS CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995163438",
            "telephone_number": "907-345-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 WINDLASS CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995163438",
            "telephone_number": "907-345-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "985877",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD05331",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD05332",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE PROVIDER ID",
            "identifier": "600309",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD0533",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron James Edwards, BA
• Andrew Russell Edwards, MD
• Charles Christopher Edwards, D.P.M.
• Connie I. Edwards, APRN
• Crystal Sue Edwards, LMSW
• Jacquelyn Edwards
• Laura Edwards
• Laurel Edwards, LCSW
• Susan J Edwards, MA
• Susie Ann Edwards, LPN

• Oral and Maxillofacial Surgery (Dentist) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.