NPIMap

Organization Active NPI

Sara L Evans DMD PC

  • General Practice Dentistry
  • Rainier, OR
National Provider Identifier
1013174895
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6604 Issued in OR
Legal business name
SARA L EVANS DMD PC
Practice address
608 B Street W
Rainier, OR 97048
Phone
(503) 556-0002
Fax
(503) 556-4147
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
George Evans
Title
Business Manager
Phone
(503) 556-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6604 OR Primary

Addresses

Primary practice location

608 B Street W
Rainier, OR 97048

Mailing address

PO Box 1029
Rainier, OR 97048-1029
Phone (503) 556-0002

Other names 1

  • Northwest Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1013174895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970481029",
            "telephone_number": "503-556-0002",
            "fax_number": "503-556-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 B STREET W",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "97048",
            "telephone_number": "503-556-0002",
            "fax_number": "503-556-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA L EVANS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "503-556-0002"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rainier, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.