Active NPI
Robert Dale Evans, D.V.M.
- Veterinarian
- Gilbert, AZ
National Provider Identifier
1033375381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 1335
- Practice address
- 675 N Gilbert Rd
Suite 148
Gilbert, AZ 85234-4698 - Phone
- (480) 892-1554
- Fax
- (480) 892-0252
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 1335 | AZ | Primary |
Addresses
Primary practice location
675 N Gilbert Rd
Suite 148
Gilbert, AZ 85234-4698
Mailing address
675 N Gilbert Rd
Suite 148
Gilbert, AZ 85234-4698
Phone (480) 892-1554
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 |
|---|---|---|---|
| 1335 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1033375381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 N GILBERT RD",
"address_2": "SUITE 148",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344698",
"telephone_number": "480-892-1554",
"fax_number": "480-892-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N GILBERT RD",
"address_2": "SUITE 148",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344698",
"telephone_number": "480-892-1554",
"fax_number": "480-892-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ROBERT",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "AZ",
"license": "1335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.