Active NPI
Matthew Evans, D.C.
- Chiropractor
- North Tonawanda, NY
National Provider Identifier
1013459544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012846
- Practice address
- 1089 Kinkead Ave
Suite 204
North Tonawanda, NY 14120-2840 - Phone
- (716) 629-3983
- NPI assigned
- Nov 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012846 | NY | Primary |
Addresses
Primary practice location
1089 Kinkead Ave
Suite 204
North Tonawanda, NY 14120-2840
Mailing address
21 Dalewood Dr
Amherst, NY 14228-3030
Phone (716) 430-7205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012846 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- North Tonawanda, NY
- NPI 1750829032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1013459544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 DALEWOOD DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142283030",
"telephone_number": "716-430-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 KINKEAD AVE",
"address_2": "SUITE 204",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202840",
"telephone_number": "716-629-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-15",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.