Active NPI
Cynthia Ann Edwards, DDS
- General Practice Dentistry
- Antioch, TN
National Provider Identifier
1962579003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS0000005081
- Practice address
- 940 Richards Road
Suite 103
Antioch, TN 37013 - Phone
- (615) 333-6616
- Fax
- (615) 333-6577
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS0000005081 | TN | Primary |
Addresses
Primary practice location
940 Richards Road
Suite 103
Antioch, TN 37013
Mailing address
432 2ND Avenue South
Nashville, TN 37201-2319
Phone (615) 313-7640
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5081 | TN | MD | Clinical Social Worker |
| DS0000005081 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Indian Health Service | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962579003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 2ND AVENUE SOUTH",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372012319",
"telephone_number": "615-313-7640",
"fax_number": "615-313-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 RICHARDS ROAD",
"address_2": "SUITE 103",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "37013",
"telephone_number": "615-333-6616",
"fax_number": "615-333-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS0000005081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.