Organization Active NPI

Dr. D. Shane Edwards

  • Dentist
  • Frisco, TX
National Provider Identifier
1649440801
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TX18117 Issued in TX
Legal business name
DR. D. SHANE EDWARDS
Practice address
8200 Stonebrook Pkwy Ste 208
Frisco, TX 75034-5588
Phone
(972) 335-3131
Fax
(469) 633-1297
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Daniel Shane Edwards, D.D.S.NPI 1770784746
Title
Owner
Phone
(972) 335-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX18117 TX Primary

Addresses

Primary practice location

8200 Stonebrook Pkwy Ste 208
Frisco, TX 75034-5588

Mailing address

8200 Stonebrook Pkwy Ste 208
Frisco, TX 75034-5588
Phone (972) 335-3131

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1649440801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 STONEBROOK PKWY STE 208",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345588",
            "telephone_number": "972-335-3131",
            "fax_number": "469-633-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STONEBROOK PKWY STE 208",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345588",
            "telephone_number": "972-335-3131",
            "fax_number": "469-633-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. D. SHANE EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-335-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX18117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.