NPIMap

Organization Active NPI

George E Evans DDS PA

Doing business as Dental Care of Baltimore

  • General Practice Dentistry
  • Randallstown, MD
National Provider Identifier
1346731478
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7238 Issued in MD
Legal business name
GEORGE E EVANS DDS PA
Doing business as
Dental Care of Baltimore
Practice address
5415 Old Court Rd Ste 501
Randallstown, MD 21133-5171
Phone
(410) 922-1601
Fax
(410) 922-6145
NPI assigned
May 24, 2018
Last updated
Sep 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Dr. George Edward Evans Sr., DDSNPI 1568596047
Title
President/Owner
Phone
(410) 922-1601

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 Dentistry 1223G0001X 7238 MD Primary

Addresses

Primary practice location

5415 Old Court Rd Ste 501
Randallstown, MD 21133-5171

Mailing address

5415 Old Court Rd Ste 501
Randallstown, MD 21133-5171
Phone (410) 922-1601

Other names 1

  • Dental Care of Baltimore Doing business as

National Provider Directory

National Provider Directory

Locations

5415 Old Court Rd
Ste 501
Randallstown, MD 21133
Phone (410) 922-1601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1346731478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 OLD COURT RD STE 501",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335171",
            "telephone_number": "410-922-1601",
            "fax_number": "410-922-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 OLD COURT RD STE 501",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335171",
            "telephone_number": "410-922-1601",
            "fax_number": "410-922-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E EVANS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-922-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Baltimore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Care of Baltimore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.