Eric Timothy Evans, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00453800 Issued in NJ

Practice address

30 S Warren St
Trenton, NJ 08608-2108

Phone

(609) 392-5001

Fax

(609) 392-5031

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evans Chiropractic, LLC

  • Chiropractor
  • Hamilton, NJ
  • NPI 1629388434
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1093867392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086082108",
            "telephone_number": "609-392-5001",
            "fax_number": "609-392-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086082108",
            "telephone_number": "609-392-5001",
            "fax_number": "609-392-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ERIC",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00453800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D6205500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serge Junior Etienne, MD
• Camille Marie Ettenger, LPC
• Matthew S Etter, D.M.D.
• Miles Kenneth Ettman, RPH
• Sandra Etuk
• Rachael Blackburn Evans, MD
• Dwane Everett
• Levia N Eversley
• Ewing Medical Associates PA
• Ewing Medical Associates PA

• Chiropractor in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.