Dr Richard Leon Edwards Iv, DDS - Medicare Dentist in Santa Monica, CA

Dr Richard Leon Edwards Iv, DDS is a medicare enrolled "Dentist - Endodontics" provider in Santa Monica, California. His current practice location is 2730 Wilshire Blvd.,#410, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 453-8606.

Dr Richard Leon Edwards Iv is licensed to practice in California (license number 57604) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811180961.

Contact Information

Dr Richard Leon Edwards Iv, DDS
2730 Wilshire Blvd.,#410,
Santa Monica, CA 90403-4706
(310) 453-8606
Not Available



Healthcare Provider's Profile

Full NameDr Richard Leon Edwards Iv
GenderMale
SpecialityDentist - Endodontics
Location2730 Wilshire Blvd.,#410, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811180961
  • Provider Enumeration Date: 08/22/2007
  • Last Update Date: 01/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1052637402
  • Enrollment ID: I20150303001214

Medical Identifiers

Medical identifiers for Dr Richard Leon Edwards Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811180961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 57604 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Leon Edwards Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Richard Leon Edwards Iv, DDS
2708 Wilshire Blvd # 141,
Santa Monica, CA 90403-4706

Ph: (310) 895-4229
Dr Richard Leon Edwards Iv, DDS
2730 Wilshire Blvd.,#410,
Santa Monica, CA 90403-4706

Ph: (310) 453-8606

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› Verified 5 days ago


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