Organization Active NPI

Robert Evans DDS

  • General Practice Dentistry
  • Canonsburg, PA
National Provider Identifier
1124483151
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025881L Issued in PA
Legal business name
ROBERT EVANS DDS
Practice address
100 Houston SQ
Suite 1a
Canonsburg, PA 15317-1469
Phone
(724) 746-5330
Fax
(724) 746-9371
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Robert C Evans Jr., DDSNPI 1760578249
Title
Owner
Phone
(724) 746-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS025881L PA Primary

Addresses

Primary practice location

100 Houston SQ
Suite 1a
Canonsburg, PA 15317-1469

Mailing address

100 Houston SQ
Suite 1a
Canonsburg, PA 15317-1469
Phone (724) 746-5330

National Provider Directory

National Provider Directory

Locations

100 Houston Sq
Ste 1A
Canonsburg, PA 15317
Phone (724) 746-5330

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1124483151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOUSTON SQ",
            "address_2": "SUITE 1A",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171469",
            "telephone_number": "724-746-5330",
            "fax_number": "724-746-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOUSTON SQ",
            "address_2": "SUITE 1A",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171469",
            "telephone_number": "724-746-5330",
            "fax_number": "724-746-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT EVANS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-746-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025881L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.