David Edwards

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

109 3Rd St E
Thief River Falls, MN 56701-2005

Phone

(218) 686-5873

NPI assigned

Mar 12, 2018

Sex

Male

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

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1700389145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER CT",
            "city": "MIDDLE RIVER",
            "state": "MN",
            "postal_code": "567374040",
            "telephone_number": "218-686-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 3RD ST E",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012005",
            "telephone_number": "218-686-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dicken PA
• Nathan Dicken, D.C.
• Tracey Dillon, RD, LRD
• Thomas Peter Dimich, DDS
• Mark Andre Dupont, MA LP LADC
• Michael Dale Eickman, DDS
• Kristine A Elliott, DC
• Dawn Marie Ellis, LICSW, LADC
• Stacy M. Englund, MSW, LICSW
• Angelica Erickson, MS, LPCC, ATR

• Massage Therapist in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.