Organization Active NPI

Evans Innovations, Inc

  • Audiologist-Hearing Aid Fitter
  • Knoxville, TN
National Provider Identifier
1174760748
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
EVANS INNOVATIONS, INC
Practice address
9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347
Phone
(865) 694-9870
Fax
(865) 694-9871
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dr. Tony Dale Evans, AUDNPI 1356415657
Title
Owner
Phone
(865) 694-9870

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
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347

Mailing address

9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347
Phone (865) 694-9870

Other names 1

  • Audio Life Hearing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100219000423 TN Part B Supplier - Clinic/Group Practice 3375687924 Receives reassigned benefits from 3 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Tax ID family
Audio Life Hearing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

186 Airport Plaza Dr
Ste D
Alcoa, TN 37701
Phone (865) 694-9870

9724 Kingston Pike
Ste 205
Knoxville, TN 37922
Phone (865) 694-9870

Practitioners & affiliated clinicians

Practitioners 3

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": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1174760748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE",
            "address_2": "SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223347",
            "telephone_number": "865-694-9870",
            "fax_number": "865-694-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE",
            "address_2": "SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223347",
            "telephone_number": "865-694-9870",
            "fax_number": "865-694-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS INNOVATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-694-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audio Life Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.