Erin Kelsey Edmondson, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

31523 Issued in TX

Practice address

6609 Blanco Rd Ste 125
San Antonio, TX 78216-6177

Phone

(713) 480-1877

NPI assigned

Dec 9, 2015

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dougherty Dentistry, PLLC

  dba Dougherty Cosmetic Dentistry

  • General Practice Dentistry
  • Garden Ridge, TX
  • NPI 1952688004
  NPD (past)

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1952776494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166177",
            "telephone_number": "713-480-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19243 Fm 2252 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garden Ridge",
            "state": "TX",
            "postal_code": "782662586",
            "country_code": "US",
            "telephone_number": "210-880-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "ERIN",
        "middle_name": "KELSEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31523",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "31523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Edmiston
• Marvin Edmond
• Cerise Marie Edmonds, LPC ASSOCIATE
• Erica Edmonds, LPC
• Siera Edmonds
• Valerie Edmondson, RBT
• Sydney Naomi Edmonson Cammack
• Elizabeth Edmunds, LCSW
• Edosa, PLLC
• Janis Edralin, PHD, LPC-S

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.