Organization Active NPI

David Edwards MD PA

  • Family Medicine Physician
  • Allen, TX
National Provider Identifier
1548205693
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4301 Issued in TX
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

Updated by the provider on May 2, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0029PCOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Family Practice Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.