Cosmetic and Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7806 Issued in IA

Legal business name

COSMETIC AND FAMILY DENTISTRY

Doing business as

Elizabeth W Evans, DMD

Practice address

2008 N US Highway 71
Carroll, IA 51401-3300

Phone

(712) 792-6455

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Evans, DMDNPI 1861502619

Title

Dentist

Phone

(712) 792-6455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth W Evans, DMD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Waters Evans, DMD

  • Dentist
  • Carroll, IA
  • NPI 1861502619
  Authorized official Same address or phone

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1023285202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 N US HIGHWAY 71",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013300",
            "telephone_number": "712-792-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N US HIGHWAY 71",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013300",
            "telephone_number": "712-792-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "712-792-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132613",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth W Evans, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Jon Christensen, D.C., F.I.A.M.A.
• Christy Clark, ARNP
• Mark R Collison, M.D.
• Community Opportunities, Inc (New Opportunities, Inc)
• Community Opportunities, Inc (New Opportunities, Inc)
• Sarah J Crilly, CRNA
• Angela Louise Cross, DC
• Neal Anthony Cross, DC
• Nina Rae Cullinan, ARNP RNC
• Nicole Marie Cummings, DO

• General Practice Dentistry in Carroll, IA
• Providers in Carroll, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.