Individual provider Active NPI

Daniel L Edwards, D.D.S.

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1851499743
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018335 Issued in MI
Practice address
2411 Oak Valley Dr
Suite 600
Ann Arbor, MI 48103-9131
Phone
(734) 761-1122
Fax
(734) 761-9664
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018335 MI Primary

Addresses

Primary practice location

2411 Oak Valley Dr
Suite 600
Ann Arbor, MI 48103-9131

Mailing address

2411 Oak Valley Dr
Suite 600
Ann Arbor, MI 48103-9131
Phone (734) 761-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018335MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Valley Dental Associates, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1851499743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR",
            "address_2": "SUITE 600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039131",
            "telephone_number": "734-761-1122",
            "fax_number": "734-761-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR",
            "address_2": "SUITE 600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039131",
            "telephone_number": "734-761-1122",
            "fax_number": "734-761-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.