Evans Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EVANS FAMILY DENTISTRY, PLLC

Practice address

22250 Bulverde Rd Ste 109
San Antonio, TX 78261-3081

Phone

(210) 757-3199

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Krishna Malaviya, DDSNPI 1619422904

Title

Owner

Phone

(248) 990-5478

Specialties & licenses 1

Addresses

Other names 1

• Evans Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krishna Malaviya, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1619422904
  NPD Authorized official

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1295304129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MULESHOE PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583443",
            "telephone_number": "248-990-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 BULVERDE RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613081",
            "telephone_number": "210-757-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "MALAVIYA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-990-5478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva L Rodriguez
• Eva M. Mason, MD, PA
• Martha Lucia Evan Knepper, DDS
• Evan Mokwe, MD, PA
• Isabella Evangelista, RN
• James David Evans III, PPF
• Caelon Evans, RN
• Colleen Evans
• Connie H Evans
• Crystal D Evans, PMHNP-BC

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.