Organization Active NPI

Gillian Edwards DDS PC

  • General Practice Dentistry
  • Saginaw, MI
National Provider Identifier
1568530442
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14398 Issued in MI
Legal business name
GILLIAN EDWARDS DDS PC
Practice address
427 N Michigan Avenue
Saginaw, MI 48602-4314
Phone
(989) 755-0991
Fax
(989) 755-0001
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Gillian Edwards, DDS
Title
President
Phone
(989) 755-0991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14398 MI Primary

Addresses

Primary practice location

427 N Michigan Avenue
Saginaw, MI 48602-4314

Mailing address

427 N Michigan Avenue
Saginaw, MI 48602-4314
Phone (989) 755-0991

Other identifiers 2

IdentifierTypeStateIssuer
4976113MedicaidMI
1745800MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1568530442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N MICHIGAN AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024314",
            "telephone_number": "989-755-0991",
            "fax_number": "989-755-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N MICHIGAN AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024314",
            "telephone_number": "989-755-0991",
            "fax_number": "989-755-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIAN EDWARDS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-755-0991",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4976113",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1745800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.