NPIMap

Organization Active NPI

Reilly Evans Associates, PC

  • General Practice Dentistry
  • Longmeadow, MA
National Provider Identifier
1336358845
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16079 Issued in MA
Legal business name
REILLY EVANS ASSOCIATES, PC
Doing business as
Pioneer Valley Dental Arts
Practice address
171 Dwight Rd
Suite 200
Longmeadow, MA 01106-1700
Phone
(413) 567-4227
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark W. Evans, D.M.D.NPI 1770792285
Title
President
Phone
(413) 567-4227

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 SINGLE SPECIALTY GROUP 1223G0001X 16079 MA Primary

Addresses

Primary practice location

171 Dwight Rd
Suite 200
Longmeadow, MA 01106-1700

Mailing address

171 Dwight Rd
Suite 200
Longmeadow, MA 01106-1700
Phone (413) 567-4227

Other names 1

  • Pioneer Valley Dental Arts Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336358845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD",
            "address_2": "SUITE 200",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061700",
            "telephone_number": "413-567-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD",
            "address_2": "SUITE 200",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061700",
            "telephone_number": "413-567-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REILLY EVANS ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-567-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Valley Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.