Evans Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

M719 Issued in SD

Legal business name

EVANS ORTHODONTICS

Practice address

600 Dakota Drive
Rapid City, SD 57702-0920

Phone

(605) 342-7777

Fax

(605) 342-2275

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A Evans, MD DDS MSNPI 1083775886

Title

Owner Orthodontist

Phone

(605) 342-7777

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Bruce A Evans, MD DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
  • NPI 1083775886
  NPD (past) Authorized official
• Bradley J Evans, MD DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
  • NPI 1376627497
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023192127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DAKOTA DRIVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020920",
            "telephone_number": "605-342-7777",
            "fax_number": "605-342-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAKOTA DRIVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020920",
            "telephone_number": "605-342-7777",
            "fax_number": "605-342-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER ORTHODONTIST",
        "authorized_official_telephone_number": "605-342-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M719",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M914",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Es SD Victorian LLC (The Victorian)
• Esl SD Victorian Operations LLC (The Victorian)
• Essilor Laboratories of America, Inc (Twin City Optical)
• Eternal Vision, P.C. (Pearle Vision)
• Anissa Evans Jepsen, EDD
• Joanne M Evans-Lewis, MSN WHNP
• Ashley Evans, CNP
• Bradley J Evans, MD DDS MS
• Bruce A Evans, MD DDS MS
• David C Evans, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.