Active NPI
Cristy Cristy Evans, RDH
- Dental Hygienist
- Hartford, MI
National Provider Identifier
1194132092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- L2297333
- Practice address
- 57418 County Road 681
Hartford, MI 49057-9421 - Phone
- (180) 021-0192
- NPI assigned
- Jul 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | L2297333 | MI | Primary |
Addresses
Primary practice location
57418 County Road 681
Hartford, MI 49057-9421
Mailing address
106 W Telegraph St
Dowagiac, MI 49047-1239
Phone (269) 462-1896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2297333 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405209600000",
"number": "1194132092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W TELEGRAPH ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471239",
"telephone_number": "269-462-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57418 COUNTY ROAD 681",
"city": "HARTFORD",
"state": "MI",
"postal_code": "490579421",
"telephone_number": "180-021-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CRISTY",
"middle_name": "CRISTY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-13",
"last_updated": "2014-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "L2297333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, MI
- Tammy Sue Curtis, MASTERS LTD SOC WORK
- Taylor Davis, LMSW
- Kellie Distefano, PA-C
- Traci Jo Drake, MASTERS LTD SOC WORK
- DRS. Ed & Sue Liebenthal PLC
- Tracy Lin Fay, MASTERS LTD PSYCHOLO
- Haley First, PHARMD
- Nora Adessa Fox-Wentz, MASTER'S LTD. PSYCHO
- Ruth Wellington Fuentes, LMSW
- Tamara Nichole Gaishin, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.