Jeffrey L. Edwards, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5681 Issued in KY

Practice address

2134 Nicholasville Rd
#15
Lexington, KY 40503-2521

Phone

(859) 278-0427

Fax

(859) 278-8873

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey L. Edwards, DMD PSC

  • Dentist
  • Lexington, KY
  • NPI 1417119306
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1407996259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 NICHOLASVILLE RD",
            "address_2": "#15",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032521",
            "telephone_number": "859-278-0427",
            "fax_number": "859-278-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 NICHOLASVILLE RD",
            "address_2": "#15",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032521",
            "telephone_number": "859-278-0427",
            "fax_number": "859-278-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60056819",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawa J Edriss, MD
• Edward Wellness Co LLC
• Anne Louise Edwards, PSY.D.
• Citadel Garcia Edwards, APRN
• Erin E Edwards
• John M. Edwards III, CRNA
• Ka'Deirdre Edwards
• Linda Edwards, MS, TCADC, TCM
• Lindsey Nicole Edwards, PHARMD
• Madison Ann Edwards, MD

• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.