DR. GREGORY EDWARDS (NPI# 1598781536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598781536 |
| Entity Type | Individual |
| Full Name | DR. GREGORY EDWARDS |
| Credential | DDS |
| Practice Address |
1811 S Rainbow Blvd Ste 208 Las Vegas NV 89146-0894 |
| Mailing Address |
4125 Erinbird Ave North Las Vegas NV 89084-4807 |
| Practice Telephone | 7024332489 |
| Practice Fax Number | 7024342483 |
| Mailing Telephone | 7023965746 |
| Mailing Fax Number | 7023071903 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2741 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DENTAL LICENSE | 2741 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215069240 | Gregory Eugene Edwards | Assisted Living Facility | 516 Deans St W, Wilson, NC 27893-2802 | 2007-03-13 |
| 1700934239 | Gregory Allen Edwards | Chiropractor | 20916 Stubble Rd, Ashburn, VA 20147-3104 | 2007-01-08 |
| 1538729397 | Gregory James Edwards | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867-8000 | 2019-06-14 |
| 1154893154 | Gregory Edwards | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-01-02 |
| 1215458690 | Gregory Thomas Edwards | Physician Assistant | 446 Morgan St, Cincinnati, OH 45206 | 2017-07-06 |
| 1073907093 | Gregory C. Edwards | Physical Therapist | 6955 Hospital Dr, Dublin, OH 43016-8580 | 2015-03-27 |
| 1376621953 | Gregory D. Edwards | Family Medicine | 1900 Dresden Dr, Lincoln, CA 95648-8803 | 2006-11-01 |
| 1215048889 | Gregory Dana Edwards | Dentist | 664 Acacia Ln, Rhinelander, WI 54501-2873 | 2006-08-31 |
| 1508880691 | Gregory Nelson Edwards | Nurse Anesthetist, Certified Registered | 201 E Grover St, Shelby, NC 28150-3917 | 2006-07-26 |
| 1700853793 | Gregory A Edwards | Urology | 802 Medical Dr, Suite 400, Longview, TX 75605-5100 | 2006-03-08 |
| Street Address |
1811 S RAINBOW BLVD STE 208 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-0894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548582166 | Affinity Dental | Clinic/Center | 1811 S Rainbow Blvd, Suite 101, Las Vegas, NV 89146-0894 | 2010-02-23 |
| 1447419429 | Alyson C Layton | Speech-Language Pathologist | 1811 S Rainbow Blvd, Las Vegas, NV 89146-0894 | 2008-06-05 |
| 1407921398 | Gerald Maynard Wall | Dentist | 1811 S Rainbow Blvd, Suite 101, Las Vegas, NV 89146-0894 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 1356979603 | Kim Dewayne Kemmerly | Dentist | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 |
| 1730714569 | Gulati Highlands Dentistry, PC | Dentist | 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 | 2020-03-12 |
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1831739150 | Vivi Baldwin | Dentist | 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 | 2020-01-15 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.