Individual provider Active NPI

Thomas John Edwards, D.D.S

  • Dentist
  • Zanesville, OH
National Provider Identifier
1649352410
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15140 Issued in OH
Practice address
2575 Maysville Pike
Zanesville, OH 43701-8081
Phone
(740) 452-1490
Fax
(740) 452-1109
NPI assigned
Oct 20, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15140 OH Primary

Addresses

Primary practice location

2575 Maysville Pike
Zanesville, OH 43701-8081

Mailing address

2575 Maysville Pike
Zanesville, OH 43701-8081
Phone (740) 452-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150410001723 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9830417443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15140OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomasj Edwards DDS Inc Dentist Past Accepting new patients
Perry County Dental Group South Zanesville, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1649352410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018081",
            "telephone_number": "740-452-1490",
            "fax_number": "740-452-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018081",
            "telephone_number": "740-452-1490",
            "fax_number": "740-452-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.