Edge-MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N0318 Issued in TX

Legal business name

EDGE-MD, PLLC

Practice address

10909 Webb Chapel Rd
Suite 121
Dallas, TX 75229-3739

Phone

(214) 357-6500

Fax

(214) 358-7290

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nathan P. Nguyen, MD

Title

Owner/MD

Phone

(979) 532-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nour Aldin Almunajjed Allahham

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1194266742
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1972904100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 REGIONAL MEDICAL DR",
            "address_2": "SUITE",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887231",
            "telephone_number": "979-532-2000",
            "fax_number": "979-532-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 WEBB CHAPEL RD",
            "address_2": "SUITE 121",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293739",
            "telephone_number": "214-357-6500",
            "fax_number": "214-358-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE-MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "979-532-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edge-MD Ferguson, PLLC
• Edge-MD Hampton, PLLC
• Edge-MD Illinois, PLLC
• Edge-MD Lake June, PLLC
• Edge-MD Singleton, PLLC
• Colleen D Edge, MD
• Jeremy R Edge, LPC
• Jennifer Edgemon
• Allison Renae Edgerly, CRNA
• Linda W Edgerton, CPNP-AC

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.