Active NPI
Jeffrey L. Edwards, DMD PSC
- Dentist
- Lexington, KY
National Provider Identifier
1417119306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5681
- Legal business name
- JEFFREY L. EDWARDS, DMD PSC
- Practice address
- 2134 Nicholasville Rd
#15
Lexington, KY 40503-2521 - Phone
- (859) 278-0427
- Fax
- (859) 278-8873
- NPI assigned
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey L Edwards, DMD
- Title
- President
- Phone
- (859) 278-0427
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5681 | KY | Primary |
Addresses
Primary practice location
2134 Nicholasville Rd
#15
Lexington, KY 40503-2521
Mailing address
2134 Nicholasville Rd
#15
Lexington, KY 40503-2521
Phone (859) 278-0427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60056819 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
2134 Nicholasville Rd
Ste 15
Lexington, KY 40503
Phone (859) 278-0427
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lexington, KY
- NPI 1407996259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1417119306",
"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": {
"organization_name": "JEFFREY L. EDWARDS, DMD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-278-0427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "KY",
"license": "5681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60056819",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.