Individual provider Active NPI

Aubrie J Evans, DDS

  • General Practice Dentistry
  • Marshall, MO
National Provider Identifier
1235622218
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2018019129 Issued in MO
Practice address
2301 S Highway 65 Ste 1
Marshall, MO 65340-3713
Phone
(660) 886-9500
NPI assigned
Jun 13, 2018
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2018019129 MO
General Practice Dentistry 1223G0001X 2018019129 MO Primary

Addresses

Primary practice location

2301 S Highway 65 Ste 1
Marshall, MO 65340-3713

Mailing address

2301 S Highway 65 Ste 1
Marshall, MO 65340-3713
Phone (660) 202-9593

Other practice location 1

850 Fairway Dr
Chillicothe, MO 64601-3673
Phone (660) 646-3802

Other practice location 2

1411 N Jefferson St
Carrollton, MO 64633-1945
Phone (660) 542-6066

Other identifiers 1

IdentifierTypeStateIssuer
1235622218OtherMOINDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@plattnerdentistry.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018019129MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aubrie Evans DDS LLC Current Accepting new patients

Locations

2301 S Highway 65
Ste 1
Marshall, MO 65340
Phone (660) 202-9593

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, 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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1235622218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HIGHWAY 65 STE 1",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403713",
            "telephone_number": "660-202-9593",
            "fax_number": "660-675-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HIGHWAY 65 STE 1",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403713",
            "telephone_number": "660-886-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "MO",
            "postal_code": "646013673",
            "country_code": "US",
            "telephone_number": "660-646-3802",
            "fax_number": "660-675-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646331945",
            "country_code": "US",
            "telephone_number": "660-542-6066",
            "fax_number": "660-675-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AUBRIE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018019129",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018019129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1235622218",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@plattnerdentistry.com",
            "affiliation": "N",
            "address_1": "2301 S Highway 65 Ste 1",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653403713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.