Active NPI
Kevin Ronny Evans, D.C.
- Chiropractor
- Lynd, MN
National Provider Identifier
1396833018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2705
- Practice address
- 1910 County Road 20
Lynd, MN 56157 - Phone
- (507) 828-2600
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2705 | MN | Primary |
Addresses
Primary practice location
1910 County Road 20
Lynd, MN 56157
Mailing address
1910 County Road 20
Lynd, MN 56157
Phone (507) 828-2600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21924 | Other | MN | SIOUX VALLEY HEALTH PLAN |
| 803528800 | Medicaid | MN | |
| 3D662EV | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2705 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Health of Montevideo, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Montevideo, MN
- NPI 1144279324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577577600000",
"number": "1396833018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 COUNTY ROAD 20",
"city": "LYND",
"state": "MN",
"postal_code": "56157",
"telephone_number": "507-828-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 COUNTY ROAD 20",
"city": "LYND",
"state": "MN",
"postal_code": "56157",
"telephone_number": "507-828-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KEVIN",
"middle_name": "RONNY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2019-12-29",
"certification_date": "2019-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "21924",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "803528800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3D662EV",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.