Courtney P Edwards

Primary specialty

DentistTaxonomy code 122300000X

License

8943 Issued in NC

Legal business name

COURTNEY P EDWARDS

Practice address

2303 W Morehead St
Suite 103
Charlotte, NC 28208-5186

Phone

(704) 817-8728

Fax

(704) 817-7538

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Patrice Edwards, DDS

Title

Dentist

Phone

(704) 817-8728

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1538578919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 W MOREHEAD ST",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085186",
            "telephone_number": "704-817-8727",
            "fax_number": "704-817-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 W MOREHEAD ST",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085186",
            "telephone_number": "704-817-8728",
            "fax_number": "704-817-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY P EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-817-8728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914560",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Courtney Dryer OD PLLC
• April Courtney, LCMHCA
• Ardith Marie Courtney, DO
• Grace Kinsman Courtney, APRN-BC
• Sarah Courtney, CCLS (#19460)
• Gail Evan Courtright, MS, LPC, LCAS, CRC

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.