Travis Evans DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRAVIS EVANS DDS, PLLC

Practice address

633 N Gilbert Rd
Mesa, AZ 85203-6629

Phone

(480) 898-3053

Fax

(480) 656-4864

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis K Evans, DDS

Title

Dentist/Owner

Phone

(480) 898-3053

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1316508765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852036629",
            "telephone_number": "480-898-3053",
            "fax_number": "480-656-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852036629",
            "telephone_number": "480-898-3053",
            "fax_number": "480-656-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS EVANS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "480-898-3053",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "consult@evansdentalaz.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mesa",
            "address_1": "633 N Gilbert Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852036629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Mesa, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.