Alyssa Edwards, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31312 Issued in TX

Practice address

1112 Hidden Oaks St
League City, TX 77573-3673

Phone

(832) 372-9738

NPI assigned

Jul 23, 2015

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

Enrolled in OH

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

State licenses

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1750766481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 HIDDEN OAKS ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 HIDDEN OAKS ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733673",
            "telephone_number": "832-372-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jeanne Dyer, M.A., LPC
• Stephen Wade Earnhart, CRNA
• Afra Ebrahimi Tari
• Rachael Mary Edelman, LPC
• Tara Michelle Edmondson, LPC
• Josephine Edwards, APRN, FNP-C
• Tashonda Edwards, MSW
• Onyinyechi Egbukwu, FNP
• Tracy Ann Eickhoff, O.D.
• Benjamin Steven Eike, DO

• Dentist in League City, TX
• Providers in League City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.