Evolve Family Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EVOLVE FAMILY DENTISTRY, LLC

Practice address

1133 College Ave Ste A103
Manhattan, KS 66502-2795

Phone

(785) 539-0804

Fax

(785) 587-9810

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ryan P Grieves, DDSNPI 1972897676

Title

Dentist/Owner

Phone

(785) 539-0804

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ryan P Grieves, DDS

  • Dentist
  • Manhattan, KS
  • NPI 1972897676
  NPD (past) Authorized official
• Randy N Davis, DDS

  • General Practice Dentistry
  • Manhattan, KS
  • NPI 1134143050
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1114588639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE A103",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022795",
            "telephone_number": "785-539-0804",
            "fax_number": "785-587-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE A103",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022795",
            "telephone_number": "785-539-0804",
            "fax_number": "785-587-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "GRIEVES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "785-539-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Estrada
• Brooke D Ethridge, RN
• Apostolos Evangelidis, MD
• Jessica Beth Evangelidis, RDH, OMT
• Evergreen Therapy & Wellness
• Kaitlyn Lauren Ewing
• Eye Care Associates of Manhattan, P.a.
• Eye Care Associates of Manhattan, P.a.
• Catherine Eyler
• Sandra Fabian

• Dental Clinic/Center in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.