NPIMap

Organization Active NPI

Alan B. Evans D.D.S., P.C.

  • General Practice Dentistry
  • Muscatine, IA
National Provider Identifier
1316114580
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07985 Issued in IA
Legal business name
ALAN B. EVANS D.D.S., P.C.
Practice address
1612 Plaza PL
Muscatine, IA 52761-5364
Phone
(563) 264-1180
Fax
(563) 288-2776
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Alan Blake Evans, D.D.SNPI 1487714937
Title
Dentist
Phone
(563) 264-1180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 07985 IA Primary

Addresses

Primary practice location

1612 Plaza PL
Muscatine, IA 52761-5364

Mailing address

1612 Plaza PL
Muscatine, IA 52761-5364
Phone (563) 264-1180

Other identifiers 2

IdentifierTypeStateIssuer
2191080MedicaidIA
1472182OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

1612 Plaza Pl
Muscatine, IA 52761
Phone (563) 264-1180

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1316114580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 PLAZA PL",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615364",
            "telephone_number": "563-264-1180",
            "fax_number": "563-288-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 PLAZA PL",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615364",
            "telephone_number": "563-264-1180",
            "fax_number": "563-288-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN B. EVANS D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "563-264-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191080",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1472182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.