Evan Mitchell DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVAN MITCHELL DDS LLC

Practice address

2600 The American Rd SE Ste 369
Rio Rancho, NM 87124-1858

Phone

(505) 898-6000

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Evan Mitchell, DDSNPI 1194202051

Title

Owner Dentist

Phone

(505) 977-6021

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Evan Mitchell, DDS

  • Dentist
  • Rio Rancho, NM
  • NPI 1194202051
  NPD Authorized official
• John Francis Crisler, D.D.S.

  • General Practice Dentistry
  • Rio Rancho, NM
  • NPI 1215991765
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1295514867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12907 BLACKSTONE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113003",
            "telephone_number": "505-977-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 THE AMERICAN RD SE STE 369",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241858",
            "telephone_number": "505-898-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN MITCHELL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "505-977-6021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Estrada, LCSW
• Cailey Jordan Etherington
• Laurel A. Ethier, M.S., CCC-SLP
• Erin Nicole Etzel, PH.D.
• Rhonda Sue Eustice, PHARMD
• Eric Evans, NP-C
• Taylor Adam Evans, MSPT
• Holly Everett, PA-C
• Eye Associates of New Mexico, LTD. (Eye Associates of New Mexico)
• Chiedozie C Eze, RPH

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.