Benjamin Joseph McEvoy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55320 Issued in CA

Practice address

725 Grand Ave
Carlsbad, CA 92008-2331

Phone

(760) 729-4904

Fax

(760) 729-3132

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Packard Dental Group Inc

  • Dentist
  • Carlsbad, CA
  • NPI 1861585804
  NPD (past)
• Packard Dental Group Inc.

  • Customized Equipment (DME)
  • Carlsbad, CA
  • NPI 1174955868
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043386105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 SIERRA MORENA AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920102827",
            "telephone_number": "702-469-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082331",
            "telephone_number": "760-729-4904",
            "fax_number": "760-729-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5114",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Irene McDaniel, LCSW
• Wendy Anne McDonald
• Jennifer McDowell, BCBA
• Chris Walton McDuffie, LCSW
• Monica McEldowney
• Rahmiir Jymell McFall
• James Wiley McFetridge, SRNA
• Alexandra McGee, HYPNOTHERAPIST, CHT
• Jacqueline McGee, DPT
• Cassidy McGonigle

• General Practice Dentistry in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.