Gene Wayne Evans, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18315 Issued in CA

Practice address

502 Central Ave
Fillmore, CA 93015-1332

Phone

(805) 524-1313

Fax

(805) 524-2437

NPI assigned

Aug 6, 2010

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2010.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1124333778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CENTRAL AVE",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151332",
            "telephone_number": "805-524-1313",
            "fax_number": "805-524-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CENTRAL AVE",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151332",
            "telephone_number": "805-524-1313",
            "fax_number": "805-524-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "GENE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "18315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela De Santiago
• Edna Ann Dean, PA-C
• Empower Bright Minds Psychology
• Epiphany Care Homes Inc
• Epiphany Care Homes Inc
• Giselle Fernandez, DDS
• Fillmore Area Transit Corp
• Fillmore Convalescent Center, LLC
• Fillmore Country Club
• Fillmore Unified School District

• All providers in Fillmore, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.