Organization Active NPI

Richard M. Evans, D.P.M., P.C.

  • Podiatrist
  • Lincoln, NE
National Provider Identifier
1023203874
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
132 Issued in NE
Legal business name
RICHARD M. EVANS, D.P.M., P.C.
Practice address
3401 O St
Lincoln, NE 68510-1541
Phone
(402) 474-4766
Fax
(402) 474-5957
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Richard Marcus Evans, D.P.M.
Title
President
Phone
(402) 474-4766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 132 NE Primary

Addresses

Primary practice location

3401 O St
Lincoln, NE 68510-1541

Mailing address

3401 O St
Lincoln, NE 68510-1541
Phone (402) 474-4766

Other identifiers 1

IdentifierTypeStateIssuer
091287OtherNEMEDICARE

National Provider Directory

National Provider Directory

Locations

3401 O St
Lincoln, NE 68510
Phone (402) 474-4766

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023203874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101541",
            "telephone_number": "402-474-4766",
            "fax_number": "402-474-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101541",
            "telephone_number": "402-474-4766",
            "fax_number": "402-474-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. EVANS, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-474-4766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "091287",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

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