David E Edgerson

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

445 E FM 1382 # 3-166
Cedar Hill, TX 75104-6047

Phone

(469) 377-0808

NPI assigned

Jun 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• A New Kind Heart, LLC

  dba A New Kind Heart

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Desoto, TX
  • NPI 1518550086
  NPD Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1952961294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E FM 1382 # 3-166",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046047",
            "telephone_number": "469-377-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E FM 1382 # 3-166",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046047",
            "telephone_number": "469-377-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERSON",
        "first_name": "DAVID",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Dumas, LCSW
• Carolyn Duncan
• Elonie Esther Dureus, LCPAA AND LCCA
• Ecoride Enterprises
• Fredrick Eddington Sr.
• Mashala Joynique Edwards, RN
• Patience Effanga, APRN
• Enehizena Nehitada Ehondor, DMD
• Collins Ekeocha, PHARMD
• El Shadai Care Home

• Contractor in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Contractor in Texas

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