NPIMap

Organization Active NPI

Rebecca R. Edwards,DDS,PA.

  • General Practice Dentistry
  • Walnut Ridge, AR
National Provider Identifier
1275721672
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3192 Issued in AR
Legal business name
REBECCA R. EDWARDS,DDS,PA.
Practice address
1045 W Main St
Suite a
Walnut Ridge, AR 72476-1004
Phone
(870) 886-3338
Fax
(870) 886-6388
NPI assigned
Oct 10, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Rebecca R Edwards, D.D.S.
Title
Ower/Operator
Phone
(870) 886-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3192 AR Primary

Addresses

Primary practice location

1045 W Main St
Suite a
Walnut Ridge, AR 72476-1004

Mailing address

1045 W Main St
Suite a P.O. Box 687
Walnut Ridge, AR 72476-1004
Phone (870) 886-3338

National Provider Directory

National Provider Directory

Locations

1045 W Main St
#A
Walnut Ridge, AR 72476
Phone (870) 886-3338

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1275721672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W MAIN ST",
            "address_2": "SUITE A P.O. BOX 687",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761004",
            "telephone_number": "870-886-3338",
            "fax_number": "870-886-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W MAIN ST",
            "address_2": "SUITE A",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761004",
            "telephone_number": "870-886-3338",
            "fax_number": "870-886-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA R. EDWARDS,DDS,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWER/OPERATOR",
        "authorized_official_telephone_number": "870-886-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.