Jeffrey A. Evans, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4499 Issued in AR

Practice address

306 NE Blake St Ste 1
Bentonville, AR 72712-5328

Phone

(479) 273-7993

Fax

(479) 273-3158

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• IA HMO C-SNP
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1013117274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W CRAWFORD ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403203",
            "telephone_number": "419-422-9034",
            "fax_number": "419-422-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NE BLAKE ST STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125328",
            "telephone_number": "479-273-7993",
            "fax_number": "479-273-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Christine Estes, FNP
• Christy Estes
• Mark Estes, D.C.
• Tayler Estrada
• Emily Evans
• Sarah Kay Evans
• Shan Evans
• Evergreen ABA LLC
• Expressions Therapy Services, LLC
• Eyes on the Square

• General Practice Dentistry in Bentonville, AR
• Providers in Bentonville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.