Edward E Evans Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

204314 Issued in CO

Practice address

830 W Abriendo Ave Ste B
Pueblo, CO 81004-1562

Phone

(719) 543-1132

NPI assigned

Aug 18, 2015

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rreddy Smiles, PLLC

  • Dentist
  • Pueblo, CO
  • NPI 1588506638
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2026.

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1275909863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W ABRIENDO AVE STE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041562",
            "telephone_number": "719-543-1132",
            "fax_number": "719-224-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W ABRIENDO AVE STE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041562",
            "telephone_number": "719-543-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "204314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000185777",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Menopause Care, LLC
• Jessica Sue Estep, MSOTR/L
• Eugene D. Chen, MD. PLLC
• Joseph Eunice
• Evans Army Community Hospital
• Lindsey Evans
• Rebecca Evans
• Terri A. Evans, PHD
• Hailey Eveatt
• Jill D Even, LMT, CNMT

• All providers in Pueblo, CO
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.