Edwin Ira Swords III, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10180 Issued in GA

Practice address

205 Waleska Road
Suite 2-a
Canton, GA 30114

Phone

(770) 479-3713

Fax

(770) 479-4031

NPI assigned

Sep 10, 2008

Last updated

Sep 10, 2008By 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

Enrolled in GA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Swords and Phelps

  • General Practice Dentistry
  • Canton, GA
  • NPI 1508953233
  NPD (past) Authorized official

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1699924027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WALESKA ROAD",
            "address_2": "SUITE 2-A",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-479-3713",
            "fax_number": "770-479-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WALESKA ROAD",
            "address_2": "SUITE 2-A",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-479-3713",
            "fax_number": "770-479-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWORDS",
        "first_name": "EDWIN",
        "middle_name": "IRA",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Bardonner Sustachek, APRN
• Megan Lena Wander Suter, CPNP-PC
• Joshua V Swain
• Swan Counseling and Coaching, LLC
• Swords and Phelps
• Brian L Taffin, R.PH.
• Alex Seth Talley, PT
• Jack L. Talley, PH.D.
• Tamim Kharrat MD PC
• Arslan Tariq

• Dentist in Canton, GA
• Providers in Canton, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.