Active NPI
David Edwards MD PA
- Family Medicine Physician
- Allen, TX
National Provider Identifier
1548205693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H4301
- Legal business name
- DAVID EDWARDS MD PA
- Practice address
- 997 Raintree Circle
Suite 140
Allen, TX 75013-4950 - Phone
- (972) 332-3366
- Fax
- (972) 332-3375
- NPI assigned
- Jun 20, 2006
- 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. David Edwards, M.D.
- Title
- Owner/Physician
- Phone
- (972) 332-3366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H4301 | TX | Primary |
Addresses
Primary practice location
997 Raintree Circle
Suite 140
Allen, TX 75013-4950
Mailing address
997 Raintree Circle
Suite 140
Allen, TX 75013-4950
Phone (972) 332-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029PC | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Family Practice Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Dallas, TX
- NPI 1083615223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1548205693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 RAINTREE CIRCLE",
"address_2": "SUITE 140",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134950",
"telephone_number": "972-332-3366",
"fax_number": "972-332-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 RAINTREE CIRCLE",
"address_2": "SUITE 140",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134950",
"telephone_number": "972-332-3366",
"fax_number": "972-332-3375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID EDWARDS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "972-332-3366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "H4301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0029PC",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Practice Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.