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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THOMAS RAY EDMONDS D.M.D.
NPI 1790724367
Dentist - General Practice in West Columbia, SC

Active since June 06, 2006PECOS Enrolled
1109 B AVE, WEST COLUMBIA, SC 29169(803) 796-8955(803) 739-0909 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Ray Edmonds D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS RAY EDMONDS D.M.D. (NPI 1790724367) is an individual general practice provider in West Columbia, South Carolina, licensed in South Carolina (2172) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790724367
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS RAY EDMONDSCredential: D.M.D.
Location Address1109 B AVEWest Columbia, SC 29169-6722
Mailing Address1109 B AveWest Columbia, SC 29169-6722 · (803) 796-8955 · Fax (803) 739-0909
Phone(803) 796-8955
Fax(803) 739-0909
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790724367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 2172
Definition
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.
1109 B AVE, West Columbia, SC 29169
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Ray Edmonds D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELA OF WEST COLUMBIA
Dentist (General Practice)
1109 B AVE
WEST COLUMBIA, SC 29169
Lexington County (803) 292-1927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Edmonds's NPI number?

The NPI number for Thomas Edmonds is 1790724367. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Thomas Edmonds located?

Thomas Edmonds practices at 1109 B Ave, West Columbia, SC 29169. The listed phone number is (803) 796-8955.

What is Thomas Edmonds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Edmonds enrolled in Medicare?

Yes. Thomas Edmonds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Edmonds was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.