Individual provider Active NPI

Edward M Lindsey, Jr., DMD, DABSCD, FAAHD

  • General Practice Dentistry
  • Gadsden, AL
National Provider Identifier
1730298548
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CS-4238 Issued in AL
Practice address
313 S 5TH St
Gadsden, AL 35901-4223
Phone
(256) 547-2844
Fax
(256) 547-2846
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CS-4238 AL Primary

Addresses

Primary practice location

313 S 5TH St
Gadsden, AL 35901-4223

Mailing address

313 S 5TH St
Gadsden, AL 35901-4223
Phone (256) 547-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20160802002407 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6406140243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CS-4238ALMDGeneral Practice Dentistry
4238ALMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1730298548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014223",
            "telephone_number": "256-547-2844",
            "fax_number": "256-547-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014223",
            "telephone_number": "256-547-2844",
            "fax_number": "256-547-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY, JR.",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD, DABSCD, FAAHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "CS-4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.