Individual provider Active NPI

Robert Hunter Edwards, D.D.S.,P.C.

  • General Practice Dentistry
  • Rome, GA
National Provider Identifier
1649327172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9421 Issued in GA
Practice address
307 Redmond Rd NW
Rome, GA 30165-1539
Phone
(706) 291-2800
Fax
(706) 291-2839
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9421 GA Primary

Addresses

Primary practice location

307 Redmond Rd NW
Rome, GA 30165-1539

Mailing address

307 Redmond Rd NW
Rome, GA 30165-1539
Phone (706) 291-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20150709000460 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608188370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9421GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649327172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651539",
            "telephone_number": "706-291-2800",
            "fax_number": "706-291-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651539",
            "telephone_number": "706-291-2800",
            "fax_number": "706-291-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROBERT",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.