Michelle Ann Edwards, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50068 Issued in CA

Practice address

1192 Suncast LN
Suite 3
El Dorado Hills, CA 95762-9330

Phone

(916) 939-9912

Fax

(916) 939-9231

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Edwards Everhart Dental

  • General Practice Dentistry
  • El Dorado Hills, CA
  • NPI 1588087597
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699987610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 GLEN RIDGE CT",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624447",
            "telephone_number": "916-939-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 SUNCAST LN",
            "address_2": "SUITE 3",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629330",
            "telephone_number": "916-939-9912",
            "fax_number": "916-939-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Earnest
• Devin Speer Eastman
• Ryan Ebersole
• Kianna Leigh Edge
• Edwards Everhart Dental
• Nolan Eger
• El Dorado Family Dental
• El Dorado Hills Dermatology & Skin Cancer Center, a Professional Medical Corporation (American River Dermatology & Skin Cancer Center)
• El Dorado Hills Eyecare Optometry
• El Dorado Hills MC Limited Partnership (The Pavillion at El Dorado Hills Memory Care)

• General Practice Dentistry in El Dorado Hills, CA
• Providers in El Dorado Hills, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.