William Randolph Jo Edwards, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21931 Issued in CA

Practice address

8267 E Merryweather LN
Anaheim, CA 92808-2317

Phone

(714) 353-2773

Fax

(866) 627-8003

NPI assigned

Jan 3, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• CMM Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
  • NPI 1013375112
  NPD (past) Authorized official
• Complete Medical Management

  • Physical Medicine & Rehabilitation Physician
  • Santa Ana, CA
  • NPI 1811341704
  NPD (past) Authorized official
• Edwards Chiropractic & Wellness Center PC

  • Rehabilitation Chiropractor
  • Santa Ana, CA
  • NPI 1538816251

  Single Specialty

  NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1235646993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 E MERRYWEATHER LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082317",
            "telephone_number": "714-353-2773",
            "fax_number": "866-627-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8267 E MERRYWEATHER LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082317",
            "telephone_number": "714-353-2773",
            "fax_number": "866-627-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH JO",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affi Eduok
• Chelsea Amanda Edwards
• Gary S. Edwards, MD
• James Edwards
• Megan Leanne Edwards
• Jerome Ee
• Kristen Eelkema, M.A., CCC-SLP
• Cheryl L. Effron, M.D.
• Ethan A Egan, M.D.
• J. Robert Egan, MD

• Chiropractor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.