Brian Thomas Edwards, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59559 Issued in CA

Practice address

25500 Rancho Niguel Rd
Suite #210
Laguna Niguel, CA 92677-7302

Phone

(949) 215-0112

Fax

(949) 215-0113

NPI assigned

Jan 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Damian L. Newhart DDS, Inc

  • Dentist
  • Laguna Niguel, CA
  • NPI 1154659969
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1649575770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD",
            "address_2": "SUITE #210",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777302",
            "telephone_number": "949-215-0112",
            "fax_number": "949-215-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD",
            "address_2": "SUITE #210",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777302",
            "telephone_number": "949-215-0112",
            "fax_number": "949-215-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Francine Durban, LCSW
• Marc Lawrence Dyer, MD
• Eastern Sun LTD. Liability Co.
• Hengameh Ebrahimi, LAC
• Edward a, Wagner, M.D., Inc.
• Shannon Edwards
• Elder Care Angels of Orange County, Inc.
• Elite Sedation General Partnership
• Andrew Elmasri, DDS
• Michelle Ahn Eng, D.D.S.

• General Practice Dentistry in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.