DR. JUSTIN S EDWARDS (NPI# 1699906255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699906255 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN S EDWARDS |
| Credential | D.M.D |
| Practice Address |
2113 Hartford Rd Hampton VA 23666-2575 |
| Mailing Address |
4550 Rock Wren Drive Providence Forge VA 23140 |
| Practice Telephone | 7578380800 |
| Mailing Telephone | 5094349364 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0442000107 | VA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401413260 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851928485 | Justin Wayne Edwards | Student in an Organized Health Care Education/Training Program | 9260 W Sunset Rd Ste 110, Las Vegas, NV 89148-4903 | 2020-03-24 |
| 1730657388 | Justin Robert Edwards | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2018-11-12 |
| 1982072229 | Justin Edwards | Counselor | 1409 Clark St, Des Moines, IA 50314-1964 | 2015-09-03 |
| 1184023400 | Justin G. Edwards | Physician Assistant | 979 E 3rd St Ste C225, Chattanooga, TN 37403-3314 | 2014-08-22 |
| 1144429630 | Justin Reid Edwards | Family Medicine | 101 Heart Drive, Ecu Physicians Family Practice Center, Greenville, NC 27834-4300 | 2007-07-13 |
| Street Address |
2113 HARTFORD RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609890730 | Michael J. Kokorelis | Dentist | 2113 Hartford Rd, Hampton, VA 23666-2575 | 2006-07-26 |
| 1669692547 | Michael J. Kokorelis, Dmd, Inc. | Dentist | 2113 Hartford Rd, Hampton, VA 23666-2575 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467771766 | Coliseum Pediatric Dentistry Pllc | Dentist | 2113 Hartford Rd Ste C, Hampton, VA 23666-2575 | 2010-05-26 |
| 1033431770 | Darchelle Marie Braxton | Dentist | 2113 Hartford Road, Coliseum Pediatric Dentistry, Hampton, VA 23666 | 2010-02-22 |
| 1902053762 | Donnamaria Tapp-reid | Dentist | 2202 Executive Dr, Suite E, Hampton, VA 23666-6604 | 2008-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
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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.