Gerald A Edwards, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

827 Issued in CO

Practice address

1050 S Peoria St
Aurora, CO 80012-3464

Phone

(303) 367-2273

Fax

(303) 367-5385

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

Practice roles

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.

• Aurora Dental Partners Prof LLP

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1356377956
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992733745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S OGDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094424",
            "telephone_number": "303-778-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123464",
            "telephone_number": "303-367-2273",
            "fax_number": "303-367-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02008274",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Giovanna Edwards Mayhew, MD
• Edwards Medical Provider Group
• Ashley Edwards
• Caleb Simpeh Edwards, MD
• Champagne Marie Edwards, MSW, LCSW
• Herman Edwards
• India Ola Debora Edwards
• James H Edwards III, ACNP
• Jenna Edwards, LMT
• Michael Hollis Edwards, MD

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• 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.
• 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.