John Greggory Edwards

Primary specialty

DentistTaxonomy code 122300000X

License

24772

Legal business name

JOHN GREGGORY EDWARDS

Practice address

1785 San Carlos Ave
Ste #6
San Carlos, CA 94070-2026

Phone

(650) 591-9977

Fax

(650) 637-2005

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Greggory Edwards, DDSNPI 1427148865

Title

Owner

Phone

(650) 591-9977

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Greggory Edwards, DDS

  • Dentist
  • San Carlos, CA
  • NPI 1427148865
  NPD (past) Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821290230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 SAN CARLOS AVE",
            "address_2": "STE #6",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702026",
            "telephone_number": "650-591-9977",
            "fax_number": "650-637-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 SAN CARLOS AVE",
            "address_2": "STE #6",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702026",
            "telephone_number": "650-591-9977",
            "fax_number": "650-637-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GREGGORY EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-591-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": "24772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B2477201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wenting Jiang
• Ana L Jimenez
• William Z Jing
• Neesha Jivan, DMD
• Joe Gutierez Inc
• Stephen Robert John, DDS
• Anthony H. Johnson
• Lisa Johnson, MS, CGC
• Nisha Engineer Johnson
• Allison Elizabeth Jones

• Dentist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.