Active NPI
Kevan James Evans, D.C.
- Acupuncturist
- Maryville, MO
National Provider Identifier
1194828012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006606
- Practice address
- 206 W 2ND St
Maryville, MO 64468-2229 - Phone
- (660) 582-8099
- NPI assigned
- Sep 6, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006606 | MO | |
| Acupuncturist | 171100000X | 006606 | MO | Primary |
Addresses
Primary practice location
206 W 2ND St
Maryville, MO 64468-2229
Mailing address
20293 Hawk Rd
Maryville, MO 64468-8301
Phone (660) 582-8948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1352500 | Other | MO | COMMUNITY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
206 W 2ND St
Maryville, MO 64468-2229
Phone (660) 582-8099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006606 | MO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
| Northwest Chiropractic Clinic, LLC | Chiropractor | Past | Accepting new patients |
Locations
206 W 2nd St
Maryville, MO 64468
Phone (660) 582-8099
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Maryville, MO
- NPI 1063703536
-
- Chiropractor
- Maryville, MO
- NPI 1235319708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1194828012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20293 HAWK RD",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644688301",
"telephone_number": "660-582-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W 2ND ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682229",
"telephone_number": "660-582-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KEVAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006606",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MO",
"license": "006606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "1352500",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.