John K Evans, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

24102 Issued in CA

Practice address

4028 Long Beach Blvd
Suite 203
Long Beach, CA 90807-2697

Phone

(562) 595-4123

NPI assigned

Jul 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• J. Cho a Professional Dental Corporation

  • Dentist
  • Mission Viejo, CA
  • NPI 1164760385
  NPD (past)
• Joseph Marvizi DDS Inc

  • Preferred Provider Organization
  • Long Beach, CA
  • NPI 1508250317
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366462376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 LONG BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072697",
            "telephone_number": "562-595-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 LONG BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072697",
            "telephone_number": "562-595-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Evans, ACSW
• Denise Evans
• Elizabeth Ashley Evans
• Emmanuelle Rose Evans
• Jami Renee Evans, MA OTR/L
• Juliet Lynne Evans
• Kristopher Evans
• Leslie Evans, LCSW
• Michele L Evans
• Mona Marie Bernardo Evans, FNP

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.