Active NPI
Jeremy Don Evans, D.C.
- Chiropractor
- Prosper, TX
National Provider Identifier
1033420542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11505
- Practice address
- 1061 N Coleman St Ste 10
Prosper, TX 75078-2318 - Phone
- (469) 296-1049
- NPI assigned
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11505 | TX | Primary |
Addresses
Primary practice location
1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Mailing address
1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone (469) 296-1049
Other practice location 1
5099 US Highway 377 S
Suite 500
Krugerville, TX 76227-6204
Phone (940) 300-4876
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11505 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irst Health | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGCHBD/Endpoint/EGCHBD
- jeremy.evans@txaajc.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1841586179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1033420542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 N COLEMAN ST STE 10",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782318",
"telephone_number": "469-296-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 N COLEMAN ST STE 10",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782318",
"telephone_number": "469-296-1049"
}
],
"practiceLocations": [
{
"address_1": "5099 US Highway 377 S",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Krugerville",
"state": "TX",
"postal_code": "762276204",
"country_code": "US",
"telephone_number": "940-300-4876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JEREMY",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.