Grace M. Edwards DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRACE M. EDWARDS DMD, PA

Practice address

16115 St. Vincent Way
Suite 110
Little Rock, AR 72223-3001

Phone

(501) 817-3157

Fax

(501) 817-3160

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Mary Grace Mapili Edwards, DMD

Title

Owner/Dentist/President

Phone

(501) 817-3157

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• M. Grace Mapili Edwards, D.M.D.

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1114085024
  NPD

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1386872075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 ST. VINCENT WAY",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233001",
            "telephone_number": "501-817-3157",
            "fax_number": "501-817-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 ST. VINCENT WAY",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233001",
            "telephone_number": "501-817-3157",
            "fax_number": "501-817-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE M. EDWARDS DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GRACE MAPILI",
        "authorized_official_title_or_position": "OWNER/DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "501-817-3157",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivasa Raghavan Govindarajan, M.D.
• Jared Tucker Gowen, MD
• Nicholas N Gowen, M.D.
• B. Adam Goyne, MHPP
• Gary R Goza, MD
• Grace Pathology Associates, P.a.
• Grace Pathology Inc
• Grace Place Therapy LLC
• Lauren Grace
• Graduate Arkansas, Inc

• Dentist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.