Organization Active NPI

James R Evans DDS PC

  • General Practice Dentistry
  • Danville, VA
National Provider Identifier
1225123714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401005352 Issued in VA
Legal business name
JAMES R EVANS DDS PC
Practice address
936 Main Street
Danville, VA 24541-1810
Phone
(434) 793-1426
Fax
(434) 797-2441
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Robert Evans, DDS
Title
Owner
Phone
(434) 793-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401005352 VA Primary

Addresses

Primary practice location

936 Main Street
Danville, VA 24541-1810

Mailing address

936 Main Street
Danville, VA 24541-1810
Phone (434) 793-1426

Other identifiers 1

IdentifierTypeStateIssuer
005148OtherVAANTHEM BC/BS

Other names 1

  • James R Evans DDS Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225123714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MAIN STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411810",
            "telephone_number": "434-793-1426",
            "fax_number": "434-797-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MAIN STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411810",
            "telephone_number": "434-793-1426",
            "fax_number": "434-797-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R EVANS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-793-1426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "005148",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James R Evans DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.