Brian Edwards Evans, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5956 Issued in NV

Practice address

5220 Neil Rd.
100
Reno, NV 89502

Phone

(775) 829-7700

Fax

(775) 829-7702

NPI assigned

Sep 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1124336128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD.",
            "address_2": "100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-829-7700",
            "fax_number": "775-829-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD.",
            "address_2": "100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-829-7700",
            "fax_number": "775-829-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRIAN",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boyd A Etter, PT, DIP. MDT, OCS
• Etxea Services
• Adrianna Marie Eubanks
• Malina Angelie Eubanks
• Andrew Christian Evans, RN
• Bryce Evans, B.S.
• Christopher P Evans, M.D.
• Coni Lee Evans, R.N.
• Dana Evans, PHARMD
• Danielle Marie Evans, BA

• Dentist in Reno, NV
• Providers in Reno, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.