Active NPI
Aubrie J Evans, DDS
- General Practice Dentistry
- Marshall, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2018019129
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235622218 | Other | MO | INDIVIDUAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018019129 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Marshall, MO
- NPI 1689241481
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.