Individual provider Active NPI

Leah J Edwards, DDS

  • Dentist
  • Malvern, AR
National Provider Identifier
1275161432
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4496 Issued in AR
Practice address
306 S Ash St
Malvern, AR 72104-3918
Phone
(501) 332-4979
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4496 AR Primary

Addresses

Primary practice location

306 S Ash St
Malvern, AR 72104-3918

Mailing address

2485 Country Club Rd
Malvern, AR 72104-6357
Phone (501) 467-0740

Other practice location 1

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-8089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20200625001647 AR Order and Referring Only - DentistPractitioner - Dentist 5294157962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4496ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Efird Warford, DDS PLLC CurrentSince Mar 24, 2025 Accepting new patients
Lisa L. Loftis, D.D.S., P.a. PastSince Mar 24, 2025 Accepting new patients

Locations

306 S Ash St
Malvern, AR 72104
Phone (501) 332-4979

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1275161432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 COUNTRY CLUB RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046357",
            "telephone_number": "501-467-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S ASH ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043918",
            "telephone_number": "501-332-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LEAH",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.