Individual provider Active NPI

Paul Evans, DC

  • Chiropractor
  • Chino, CA
National Provider Identifier
1205840394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29687 Issued in CA
Practice address
5480 Philadelphia St
Suite H
Chino, CA 91710-2486
Phone
(909) 627-6884
Fax
(909) 627-5558
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29687 CA Primary

Addresses

Primary practice location

5480 Philadelphia St
Suite H
Chino, CA 91710-2486

Mailing address

5480 Philadelphia St
Suite H
Chino, CA 91710-2486
Phone (909) 627-6884

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29687CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Evans Chiropractic Professional Corporation Chiropractor PastSince Sep 1, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205840394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 PHILADELPHIA ST",
            "address_2": "SUITE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102486",
            "telephone_number": "909-627-6884",
            "fax_number": "909-627-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 PHILADELPHIA ST",
            "address_2": "SUITE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102486",
            "telephone_number": "909-627-6884",
            "fax_number": "909-627-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.