Active NPI
Lincoln Paul Edwards, DDS
- Dentist
- San Bernardino, CA
National Provider Identifier
1679872121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59838
- Practice address
- 159 W Hospitality LN
Suite 100
San Bernardino, CA 92408-3348 - Phone
- (909) 558-4960
- Fax
- (909) 558-0689
- NPI assigned
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 59838 | CA | Primary |
Addresses
Primary practice location
159 W Hospitality LN
Suite 100
San Bernardino, CA 92408-3348
Mailing address
11041 Campus St
Loma Linda, CA 92354
Phone (909) 558-4000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1679872121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11041 CAMPUS ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-4000",
"fax_number": "909-558-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W HOSPITALITY LN",
"address_2": "SUITE 100",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083348",
"telephone_number": "909-558-4960",
"fax_number": "909-558-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LINCOLN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.