Individual provider Active NPI

David William Edwards, D.M.D.

  • General Practice Dentistry
  • Sanford, FL
National Provider Identifier
1972969079
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18032 Issued in FL
Practice address
541 N Palmetto Ave
Suite 101
Sanford, FL 32771-1371
Phone
(407) 322-6143
Fax
(407) 330-0953
NPI assigned
Jan 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18032 FL Primary

Addresses

Primary practice location

541 N Palmetto Ave
Suite 101
Sanford, FL 32771-1371

Mailing address

541 N Palmetto Ave
Suite 101
Sanford, FL 32771-1371
Phone (407) 322-6143

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18032FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1972969079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 N PALMETTO AVE",
            "address_2": "SUITE 101",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711371",
            "telephone_number": "407-322-6143",
            "fax_number": "407-330-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 N PALMETTO AVE",
            "address_2": "SUITE 101",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711371",
            "telephone_number": "407-322-6143",
            "fax_number": "407-330-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.