Warren Christopher Edwards, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 15965 Issued in FL

Practice address

8247 Devereux Dr Ste 102
Melbourne, FL 32940-8227

Phone

(321) 751-7775

Fax

(321) 751-4744

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 13, 2024 through Mar 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Smile Design Center

  • Dentist
  • Rockledge, FL
  • NPI 1972048874
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689759235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8247 DEVEREUX DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408227",
            "telephone_number": "321-751-7775",
            "fax_number": "321-751-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8247 DEVEREUX DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408227",
            "telephone_number": "321-751-7775",
            "fax_number": "321-751-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WARREN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Eckhoff
• Economy Laboratory LLC (Economy Laboratory)
• Tamara A Edelstein-Snider, APRN
• Marva Edwards-Marshall, ARNP
• Corinne Danielle Edwards
• Edx of Brevard, LLC
• Mercedes Eelman
• Shawn Timothy Egan, D.C.
• Kiristin Eggett, PSYD
• Maria Claudia Egoroff

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.