G Scott Evans DDS PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15030 Issued in TX

Legal business name

G SCOTT EVANS DDS PA

Doing business as

Straight Teeth Orthodontics

Practice address

2000 Esters Rd
Suite 140
Irving, TX 75061-9531

Phone

(972) 871-0033

Fax

(972) 871-0088

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Gerald Scott Evans, DDS

Title

Owner

Phone

(972) 871-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Straight Teeth Orthodontics Doing business as

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1124323944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ESTERS RD",
            "address_2": "SUITE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750619531",
            "telephone_number": "972-871-0033",
            "fax_number": "972-871-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ESTERS RD",
            "address_2": "SUITE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750619531",
            "telephone_number": "972-871-0033",
            "fax_number": "972-871-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G SCOTT EVANS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-871-0033",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "15030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166592902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Straight Teeth Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.