Paul a. Evans, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3004 Issued in AR

Legal business name

PAUL A. EVANS, DDS

Practice address

7 W Center St
Greenwood, AR 72936-4804

Phone

(479) 996-8000

Fax

(479) 996-9000

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul Anthony EvansNPI 1629135686

Title

Owner/Dentist

Phone

(479) 996-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Evans, DDS

  • Dentist
  • Greenwood, AR
  • NPI 1629135686
  NPD (past) Authorized official

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1104156017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W CENTER ST",
            "address_2": "P.O. BOX 250",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364804",
            "telephone_number": "479-996-8000",
            "fax_number": "479-996-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364804",
            "telephone_number": "479-996-8000",
            "fax_number": "479-996-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. EVANS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "479-996-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179830631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.