Individual provider Active NPI

Thomas Lewis Edler, DDS

  • Dentist
  • Washington, DC
National Provider Identifier
1881833770
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4725 Issued in DC
Practice address
600 W St NW
Department of Restorative Services
Washington, DC 20059-0001
Phone
(202) 806-0389
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4725 DC Primary

Addresses

Primary practice location

600 W St NW
Department of Restorative Services
Washington, DC 20059-0001

Mailing address

600 W St NW
Department of Restorative Services
Washington, DC 20059-0001
Phone (202) 806-0389

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN4725DCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1881833770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W ST NW",
            "address_2": "DEPARTMENT OF RESTORATIVE SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200590001",
            "telephone_number": "202-806-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W ST NW",
            "address_2": "DEPARTMENT OF RESTORATIVE SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200590001",
            "telephone_number": "202-806-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLER",
        "first_name": "THOMAS",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN4725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.