David Wayne Edge, L.AC., O.M.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1031 Issued in NV

Practice address

1528 US Highway 395 N
Suite 230
Gardnerville, NV 89410-5265

Phone

(775) 783-4930

Fax

(775) 783-7629

NPI assigned

Nov 2, 2006

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mountain Sports Acupuncture LLC

  • Acupuncturist
  • Gardnerville, NV
  • NPI 1720869829
  NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1891874996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 RUSSELL WAY",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894606503",
            "telephone_number": "775-781-3465",
            "fax_number": "775-783-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 US HIGHWAY 395 N",
            "address_2": "SUITE 230",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105265",
            "telephone_number": "775-783-4930",
            "fax_number": "775-783-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "L.AC., O.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10063",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Danelle Driscoll
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• Laure Jean Ebel, OT
• Edge Medical Services
• Alice Eide-Mason
• Michael Lewis Elterman, M.A.
• Embrace Childbirth & Lactation LLC
• Thomas J Embree, MFT,PHD
• Equanimity Counseling and Psychological Services

• Acupuncturist in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Acupuncturist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.