Active NPI
Robert Charles Evans, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1033343678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11150
- Practice address
- 1909 Garden St
Austin, TX 78702-5508 - Phone
- (512) 758-1558
- Fax
- (512) 233-5272
- NPI assigned
- May 12, 2009
- 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 | 11150 | TX | Primary |
Addresses
Primary practice location
1909 Garden St
Austin, TX 78702-5508
Mailing address
1909 Garden St
Austin, TX 78702-5508
Phone (512) 758-1558
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11150 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Medicine of Austin | 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
- Austin, TX
- NPI 1831324961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1033343678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 GARDEN ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787025508",
"telephone_number": "512-758-1558",
"fax_number": "512-233-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 GARDEN ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787025508",
"telephone_number": "512-758-1558",
"fax_number": "512-233-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.