DR. CORY BLAKE EDWARDS (NPI# 1285858431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285858431 |
| Entity Type | Individual |
| Full Name | DR. CORY BLAKE EDWARDS |
| Credential | D.M.D., M.S. |
| Practice Address |
1063 Narrows Way Suite B Birmingham AL 35242 |
| Practice Telephone | 2059819100 |
| Practice Fax Number | 2059953762 |
| Mailing Telephone | 2059819100 |
| Mailing Fax Number | 2059953762 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5217 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUECROSS BLUESHIELD | 515 37373 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935114 | Cory Joseph Edwards | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2020-06-04 |
| 1770876815 | Cory Thomas Edwards | Psychiatry & Neurology | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2011-05-23 |
| Street Address |
1063 NARROWS WAY SUITE B |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573825 | William Bates | Dentist | 2826 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-06-22 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1619407657 | Priscila Arruda Denny | Dentist | 2029 Old Montgomery Hwy, Birmingham, AL 35244-1606 | 2017-06-13 |
| 1538549241 | Paige Dianna Whitt | Dentist | 406 Hollywood Blvd, Birmingham, AL 35209-2021 | 2015-06-08 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1154688794 | Careybeth Hayes Rivers | Dentist | 4369 Ruth Rd, Birmingham, AL 35213-1609 | 2012-04-20 |
| 1336467406 | Nathan Warren Johnson | Dentist | 1451 River Walk Cir, Birmingham, AL 35216-6811 | 2010-05-13 |
| 1700021854 | Michael Brett Wood | Dentist | 5143 6th Ave S, Birmingham, AL 35212-3519 | 2008-12-03 |
| 1134301559 | Jon C. Moore | Dentist | 5100 Cyrus Cir, Birmingham, AL 35242-4630 | 2007-11-27 |
| 1093996332 | David M Sarver | Dentist | 1705 Vestavia Pkwy, Birmingham, AL 35216-3752 | 2007-11-15 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.