Suzanne E Edwards, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028115L Issued in PA

Practice address

15 W Water St
Lock Haven, PA 17745-1250

Phone

(570) 748-3595

Fax

(570) 748-9622

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suzanne E Edwards, DMD, PC

  • General Practice Dentistry
  • Lock Haven, PA
  • NPI 1104165596

  General Practice

  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720188378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W WATER ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451250",
            "telephone_number": "570-748-3595",
            "fax_number": "570-748-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W WATER ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451250",
            "telephone_number": "570-748-3595",
            "fax_number": "570-748-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028115L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012906580001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROVIDER #",
            "identifier": "724917",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori S Dinges, PT
• Troy S Dinges, PT
• Tyson Lee Dixon, D.C.
• J-Lin Michaela Durost
• Kayley E Edmondson
• William R Edwards, DMD
• Walter A Eisenhauer, PA-C
• Jerome Keefer Ellis, MD
• Morgan Euston
• Charles Albert Evans III, RPH

• All providers in Lock Haven, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.