Individual provider Active NPI

Matthew Evers, D.M.D.

  • Dentist
  • Gaffney, SC
National Provider Identifier
1235519778
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9074 Issued in SC
Practice address
206 Chesnee Hwy Unit a
Gaffney, SC 29341-2757
Phone
(864) 489-5745
NPI assigned
May 30, 2015
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.024499 OH
Dentist 122300000X 30.024499 OH
Dentist 122300000X 9074 SC Primary

Addresses

Primary practice location

206 Chesnee Hwy Unit a
Gaffney, SC 29341-2757

Mailing address

206 Chesnee Hwy Unit a
Gaffney, SC 29341-2757
Phone (864) 489-5745

Other practice location 1

383 S Pine St Ste 3
Spartanburg, SC 29302-2650
Phone (864) 583-7473

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
9074SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Evers, DMD, LLC Current Accepting new patients
Matthew Evers, DMD, LLC General Practice CurrentSince Dec 1, 2019 Accepting new patients
Converse Dental LLC Current Accepting new patients
William R. Morris, D.M.D., P.a. Dentist PastSince Nov 1, 2019 Accepting new patients

Locations

325 2nd Ave
Sidney, OH 45365
Phone (937) 492-1790

1500 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-5745

206 Chesnee Hwy
Unit A
Gaffney, SC 29341
Phone (864) 489-5745

383 S Pine St
Ste 3
Spartanburg, SC 29302
Phone (864) 577-9400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1235519778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CHESNEE HWY UNIT A",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412757",
            "telephone_number": "864-489-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CHESNEE HWY UNIT A",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412757",
            "telephone_number": "864-489-5745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "383 S Pine St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293022650",
            "country_code": "US",
            "telephone_number": "864-583-7473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERS",
        "first_name": "MATTHEW",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024499",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024499",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.