Organization Active NPI

Edwards Dermatology Inc

  • Dermatology Physician
  • Bethesda, MD
National Provider Identifier
1396339586
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EDWARDS DERMATOLOGY INC
Doing business as
Apex Dermatology
Practice address
5602A Shields Dr
Bethesda, MD 20817-3571
Phone
(304) 638-9717
NPI assigned
Feb 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Authorized official

Name
Dr. Arden F Edwards, MD
Title
Dermatologist
Phone
(304) 638-9717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5602A Shields Dr
Bethesda, MD 20817-3571

Mailing address

5602A Shields Dr
Bethesda, MD 20817-3571
Phone (304) 638-9717

Other names 1

  • Apex Dermatology Doing business as

National Provider Directory

National Provider Directory

Locations

5602 Shields Dr
#A
Bethesda, MD 20817
Phone (301) 985-2739

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1396339586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602A SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173571",
            "telephone_number": "304-638-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602A SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173571",
            "telephone_number": "304-638-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ARDEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "304-638-9717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.