Jason Neil Evans, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046765-1 Issued in NY

Practice address

25 Red Jacket St
Dansville, NY 14437-9517

Phone

(585) 335-2201

Fax

(585) 335-7243

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dansville Dental Professionals LLP

  • General Practice Dentistry
  • Dansville, NY
  • NPI 1922003615
  NPD (past)
• Sci Anesthesia PLLC

  • Anesthesiology Physician
  • Rochester, NY
  • NPI 1316360126
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346396298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379517",
            "telephone_number": "585-335-2201",
            "fax_number": "585-335-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379517",
            "telephone_number": "585-335-2201",
            "fax_number": "585-335-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JASON",
        "middle_name": "NEIL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046765-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mervat Eid, MD
• Cameron Ellis Jr., PA-C
• Jason Elwell, MD
• Kaylee Erwin, RDN
• Christina Evans, PHARM.D
• Margaret Krolczyk Evans, D.D.S.
• Mark P Evans, CRNA
• Candice Ezard
• Kathleen Loretta Falkner, RN
• Joshua C Farnham, REGISTERED NURSE

• General Practice Dentistry in Dansville, NY
• Providers in Dansville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.