Thomas Ray Edmonds, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2172 Issued in SC

Practice address

1109 B Ave
West Columbia, SC 29169-6722

Phone

(803) 796-8955

Fax

(803) 739-0909

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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 SC

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790724367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 B AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696722",
            "telephone_number": "803-796-8955",
            "fax_number": "803-739-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 B AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696722",
            "telephone_number": "803-796-8955",
            "fax_number": "803-739-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "THOMAS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Eddy, LMSW, MPH, BCBA
• William Perry Edenfield Jr., M.D.
• Maeghan Edge, PTA
• Kimberly Jewell Edgren, PT
• Mahalia Edmonds
• Carl Lee Edwards
• Elizabeth Ruth Eells, MSW
• Christal Lynn Eichelberger, PTA
• Karen Nkechinyere Ekeh
• Sarah Barrett Ekman, PA-C

• General Practice Dentistry in West Columbia, SC
• Providers in West Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.