Evan James Andrews, DDS

Individual provider Active NPI General Practice Dentistry · Shawnee, KS

NPI 1013700491 · NPPES record last updated May 27, 2025

Key facts

NPI
1013700491
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
62282 (KS)
Practice address
10840 Shawnee Mission Pkwy
Shawnee, KS 66203-3512
Phone
(913) 631-5622
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
62282KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kiene Dental Group (Kiene Generations) General Practice Current
since Jun 3, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62282 KS Yes

Addresses

Primary practice location

10840 Shawnee Mission Pkwy
Shawnee, KS 66203-3512

Mailing address

952 Cedarcrest Dr
Raymore, MO 64083-8733
Phone (620) 794-5943

Other providers in Shawnee, KS

All providers in Shawnee, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.