JASON EDWARDS DDS, LLC (NPI# 1871070391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871070391 |
| Entity Type | Organization |
| Organization Name | JASON EDWARDS DDS, LLC |
| Other Organization Name | WAKARUSA FAMILY DENTAL |
| Practice Address |
4901 Legends Dr Lawrence KS 66049-5800 |
| Mailing Address |
15805 E Camden Chase St Wichita KS 67228-8122 |
| Practice Telephone | 8169180905 |
| Mailing Telephone | 8169180905 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | DR. JASON C EDWARDS (DENTIST) |
| Authorized Official Telephone | 8169180905 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60939 | KS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Wakarusa Family Dental | Doing Business As Name - Organization |
| Street Address |
4901 LEGENDS DR |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66049-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427162833 | Philip C Gaus Jr. | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-08-19 |
| 1336550607 | Wakashaw, LLC | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2014-05-08 |
| 1306076971 | Wakarusa Oral Surgery, Lc | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2009-07-17 |
| 1306056957 | Justin Wayne Labart | Dentist | 4901 Legends Dr, Wakashaw, LLC Dba Wakarusa Oral Surgery, Lawrence, KS 66049-5800 | 2007-05-23 |
| 1326116435 | Kelley, Heck P.a. | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-11-30 |
| 1992894109 | Allen K Kelley | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-10-12 |
| 1750470936 | Michael P Shaw | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
| 1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
| Find all providers in zip 66049 | ||||
| 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 |
|---|---|---|---|---|
| 1184241044 | Celsus LLC | Dentist | 3110 Nieder Rd, Lawrence, KS 66047-1950 | 2020-06-26 |
| 1043785173 | Jamie L. Ritchie, D.d.s., P.a. | Dentist | 1425 Wakarusa Dr Ste A, Lawrence, KS 66049-4287 | 2018-10-04 |
| 1699251165 | Luke Anthony Ristow | Dentist | 930 Iowa St Ste 1, Lawrence, KS 66044-1869 | 2018-07-17 |
| 1790133494 | Felix Santamaria | Dentist | 525 S Broadway, Lawrence, MA 01843-3667 | 2016-06-03 |
| 1750760807 | Daniel David Stern | Dentist | 122 Harrison St, Lawrence, NY 11559-1932 | 2015-05-21 |
| 1225451438 | Daniel J Jun | Dentist | 465 S Broadway, Lawrence, MA 01843-3526 | 2014-01-23 |
| 1720341043 | Carla Dukas | Dentist | 700 Essex Street, Suite 1, Lawrence, MA 01841 | 2012-06-21 |
| 1043421225 | St Jay Associates, Inc. | Dentist | 234 Essex St, Lawrence, MA 01840-1549 | 2007-05-27 |
| 1881715324 | Hossam Makkar Dmd PC | Dentist | 314 Essex St, Lawrence, MA 01840-1411 | 2007-04-03 |
| 1558497073 | Svetlana Gomer | Dentist | 439 S Union St Ste 117, Lawrence, MA 01843-2837 | 2007-02-26 |
| Find all providers in LAWRENCE | ||||
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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.