Individual provider Active NPI

Ryland Branch Edwards III, DVM

  • Veterinarian
  • Newtown, CT
National Provider Identifier
1710291380
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
3108 Issued in CT
Practice address
32 Barnabas Rd
Newtown, CT 06470-1228
Phone
(203) 270-3600
Fax
(203) 270-4672
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 3108 CT Primary
Veterinarian 174M00000X 0301005855 VA
Veterinarian 174M00000X 007951 NY

Addresses

Primary practice location

32 Barnabas Rd
Newtown, CT 06470-1228

Mailing address

32 Barnabas Rd
Newtown, CT 06470-1228
Phone (203) 270-3600

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

State licenses

LicenseStateTypeSpecialty
3108CTMDVeterinarian
007951NYMDVeterinarian
0301005855VAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1710291380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BARNABAS RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701228",
            "telephone_number": "203-270-3600",
            "fax_number": "203-270-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BARNABAS RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701228",
            "telephone_number": "203-270-3600",
            "fax_number": "203-270-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RYLAND",
        "middle_name": "BRANCH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CT",
            "license": "3108",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "VA",
            "license": "0301005855",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NY",
            "license": "007951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.