Active NPI
Jane Alexander Edwards, DDS
- General Practice Dentistry
- Madison, AL
National Provider Identifier
1649952573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.007393-C1
- Practice address
- 136 Plaza Blvd Ste a
Madison, AL 35758-1160 - Phone
- (615) 775-4702
- NPI assigned
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.007393-C1 | AL | Primary |
Addresses
Primary practice location
136 Plaza Blvd Ste a
Madison, AL 35758-1160
Mailing address
136 Plaza Blvd Ste a
Madison, AL 35758-1160
Phone (615) 775-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007393-C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1649952573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 PLAZA BLVD STE A",
"city": "MADISON",
"state": "AL",
"postal_code": "357581160",
"telephone_number": "615-775-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 PLAZA BLVD STE A",
"city": "MADISON",
"state": "AL",
"postal_code": "357581160",
"telephone_number": "615-775-4702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JANE",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.007393-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.