Justin Evans DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56492 Issued in CA

Legal business name

JUSTIN EVANS DDS INC

Practice address

294 S Main St Ste a
Templeton, CA 93465-9332

Phone

(805) 434-1420

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Justin Robert Evans, D.D.S.NPI 1124209549

Title

President

Phone

(805) 434-1420

Specialties & licenses 1

Addresses

Other names 1

• Templeton Dentistry Other name

Locations

Practitioners 1

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

• Justin R Evans, DDS

  • Dentist
  • Templeton, CA
  • NPI 1124209549
  NPD (past) Authorized official

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1124390414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 S MAIN ST STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659332",
            "telephone_number": "805-434-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 S MAIN ST STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659332",
            "telephone_number": "805-434-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN EVANS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-434-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Templeton Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Thor Johnston, MD
• Noreen Johnston, N.P.
• Jonathan Riegler, M.D., Inc.
• Leslie Ann Joslin, NP-C
• Joyce Marie Woodworth,DC
• Kallos Surgery Center Inc.
• Jennifer J Kang, DMD
• Tara F Karp, D.O.
• Stacey Coe Kavnaugh, DC
• Meredyth Keast-Devine, PHARM.D. B.C.P.P.

• General Practice Dentistry in Templeton, CA
• Providers in Templeton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.