NPIMap

Organization Active NPI

DRS Evans PC

Doing business as Evans Family Chiropractors

  • Chiropractor
  • Bordentown, NJ
National Provider Identifier
1104934363
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00453800 Issued in NJ
Legal business name
DRS EVANS PC
Doing business as
Evans Family Chiropractors
Practice address
1 Third St
Bordentown, NJ 08505-1321
Phone
(609) 298-4299
Fax
(609) 298-9653
NPI assigned
Aug 28, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Dr. Denise Evans, DCNPI 1609928175
Title
Chiropractor Pres
Phone
(609) 298-4299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00445700 NJ
Chiropractor 111N00000X 38MC00453800 NJ Primary

Addresses

Primary practice location

1 Third St
Bordentown, NJ 08505-1321

Mailing address

1 1/2 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-4299

Other names 1

  • Evans Family Chiropractors Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001370 NJ Part B Supplier - Clinic/Group Practice 3779565841 Receives reassigned benefits from 3 practitioners
Practice locations: Bordentown, NJ

National Provider Directory

National Provider Directory

Locations

30 S Warren St
Trenton, NJ 08608
Phone (609) 392-5001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1104934363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 1/2 CROSSWICKS ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "08505",
            "telephone_number": "609-298-4299",
            "fax_number": "609-298-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THIRD ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-4299",
            "fax_number": "609-298-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS EVANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CHIROPRACTOR PRES",
        "authorized_official_telephone_number": "609-298-4299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00445700",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00453800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Family Chiropractors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.