G S Evans DDS PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15030 Issued in TX

Legal business name

G S EVANS DDS PA

Doing business as

Straight Teeth Orthodontics

Practice address

3434 W Illinois Ave
Suite204
Dallas, TX 75211-8796

Phone

(214) 337-5200

Fax

(214) 337-5204

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Gerald Scott Evans, DDS

Title

Owner

Phone

(214) 337-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Straight Teeth Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1235435298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE",
            "address_2": "SUITE204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118796",
            "telephone_number": "214-337-5200",
            "fax_number": "214-337-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE",
            "address_2": "SUITE204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118796",
            "telephone_number": "214-337-5200",
            "fax_number": "214-337-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G S EVANS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-337-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "15030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166592903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Straight Teeth Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Fuson, MA, LPCI
• Helene Futch, P.A.
• Alistair Ian Fyfe, M.D. PH.D.
• David Dewinn Fyffe, DDS
• G Kumar MD PA
• G. Andres Quiceno,M.D., P.a.
• G. Hunt Neurohr, M.D., P.a.
• G. Ken Hempel, M. D., P. a.
• G. Stephon Payseur M,D.P.a. (Garnett S. Payser M.D.P.A)
• G3 Global Logistics

• Orthodontics and Dentofacial Orthopedics Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.