Organization Active NPI

Michael D. Edwards, D.M.D.,P.C.

  • General Practice Dentistry
  • Wedowee, AL
National Provider Identifier
1376893271
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL D. EDWARDS, D.M.D.,P.C.
Practice address
449 Main Street North
Wedowee, AL 36278-0370
Phone
(256) 357-2882
Fax
(256) 257-2883
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Michael D. EdwardsNPI 1164555918
Title
President
Phone
(256) 357-2882

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

449 Main Street North
Wedowee, AL 36278-0370

Mailing address

PO Box 370
Wedowee, AL 36278-0370
Phone (256) 357-2882

National Provider Directory

National Provider Directory

Locations

449 Main St N
Wedowee, AL 36278
Phone (256) 357-2882

Practitioners & affiliated clinicians

Practitioners 1

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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1376893271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362780370",
            "telephone_number": "256-357-2882",
            "fax_number": "256-357-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MAIN STREET NORTH",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362780370",
            "telephone_number": "256-357-2882",
            "fax_number": "256-257-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. EDWARDS, D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-357-2882",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wedowee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.