Richard Leon Edwards IV, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

57604 Issued in CA

Practice address

2730 Wilshire Blvd.,#410
Santa Monica, CA 90403-4706

Phone

(310) 453-8606

NPI assigned

Aug 22, 2007

Last updated

Jan 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1811180961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 WILSHIRE BLVD # 141",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034706",
            "telephone_number": "310-895-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD.,#410",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034706",
            "telephone_number": "310-453-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RICHARD",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "57604",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lilian Edwards, MD
• George Keith Edwards, M.D.
• John David Edwards Jr., M.D
• Meredith Edwards, LMFT
• Raulena Edwards
• Edwin C. Amos, MD, Inc
• Edwin C. Glass, M.D., Inc.
• Rebecca Egan, DPT
• Jeffrey Michael Egler, M.D.
• Traci Akiko Eguchi, N.P.

• Endodontics in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.