NPIMap

Organization Active NPI

Alex Edgerly, DDS, PLLC

Doing business as Edgerly Dentistry

  • Dental Clinic/Center
  • Bridge City, TX
National Provider Identifier
1912536418
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEX EDGERLY, DDS, PLLC
Doing business as
Edgerly Dentistry
Practice address
825 W Round Bunch Rd
Bridge City, TX 77611-2436
Phone
(409) 735-2401
NPI assigned
Apr 6, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Dr. Alex Edgerly
Title
Owner Dentist
Phone
(409) 735-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

825 W Round Bunch Rd
Bridge City, TX 77611-2436

Mailing address

825 W Round Bunch Rd
Bridge City, TX 77611-2436
Phone (409) 735-2401

Other names 1

  • Edgerly Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

825 W Round Bunch Rd
Bridge City, TX 77611
Phone (409) 735-2401

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1912536418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112436",
            "telephone_number": "409-735-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112436",
            "telephone_number": "409-735-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX EDGERLY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "EDGERLY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "409-735-2401",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgerly Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.