Travis L Edwards, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12792 Issued in NC

Practice address

4106 Wake Forest Rd Ste 201
Raleigh, NC 27609-6397

Phone

(919) 277-0577

Fax

(919) 390-0019

NPI assigned

Jun 24, 2009

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Wright and Associates III DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1568999118

  General Practice

  NPD
• Lane & Associates Xxii, DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
  • NPI 1285910455
  NPD (past)
• Wright and Associates VII DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Cary, NC
  • NPI 1669997144

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• Brookside Dental

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1851312839
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1477781813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-461-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096397",
            "telephone_number": "919-277-0577",
            "fax_number": "919-390-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TRAVIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4211",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12792",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "12792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phinnette Edwards
• Rebecca Lynn Edwards, LAT, ATC
• Rebecca Shay Edwards
• Sandra L Edwards, LCAS-A
• Theresa Edwards, PH.D.
• Hannah Edwardson, MA, LCMHC, NCC
• Inga Edwin, M.D.
• Brittany A Edyburn, MA CCC-SLP
• Effective Therapy Consultants,PA.LLC
• Anne Marie Egan, AUD

• Orthodontics and Dentofacial Orthopedics Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.