NPIMap

Organization Active NPI

Kristin C Edwards DDS PLLC

  • Dental Clinic/Center
  • Richmond, VA
National Provider Identifier
1346887635
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KRISTIN C EDWARDS DDS PLLC
Practice address
5318 Patterson Ave Ste a
Richmond, VA 23226-2044
Phone
(804) 282-9600
Fax
(804) 282-4473
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Dr. Kristin Edwards, DDSNPI 1124471255
Title
President
Phone
(804) 282-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5318 Patterson Ave Ste a
Richmond, VA 23226-2044

Mailing address

5318 Patterson Ave Ste a
Richmond, VA 23226-2044
Phone (804) 282-9600

Other identifiers 2

IdentifierTypeStateIssuer
1932129467OtherVA1932129467
1124471255OtherVA1124471255

Other names 1

  • West Richmond Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5318 Patterson Ave
Ste A
Richmond, VA 23226
Phone (804) 282-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1346887635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 PATTERSON AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262044",
            "telephone_number": "804-282-9600",
            "fax_number": "804-282-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 PATTERSON AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262044",
            "telephone_number": "804-282-9600",
            "fax_number": "804-282-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN C EDWARDS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-282-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1932129467",
            "identifier": "1932129467",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1124471255",
            "identifier": "1124471255",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Richmond Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.