NPIMap

Individual provider Active NPI

Everett Chad Evans, D.D.S.

  • Dentist
  • Denton, TX
National Provider Identifier
1407930050
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0023695 Issued in TX
Practice address
3600 E McKinney St
Suite 190
Denton, TX 76209-7557
Phone
(940) 220-7833
Fax
(940) 387-2444
NPI assigned
Oct 24, 2006
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4789 NV
Dentist 122300000X 0023695 TX Primary

Addresses

Primary practice location

3600 E McKinney St
Suite 190
Denton, TX 76209-7557

Mailing address

3600 E McKinney St
Suite 190
Denton, TX 76209-7557
Phone (940) 387-2442

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4789NVMDDentist
0023695TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral Wells, PLLC Current Accepting new patients
South Josey Lane Family Dental PLLC PastSince Dec 22, 2020 Accepting new patients
Commerce Dental, PLLC Past Accepting new patients
Lockhart Dental, PLLC Past Accepting new patients
4TH Street Dental, PLLC Past Accepting new patients
Carmel Village Family Dentistry, PLLC PastSince Mar 22, 2020 Accepting new patients
Dyer Family Dentistry, PLLC PastSince Jan 17, 2021 Accepting new patients
North Texas Boulevard Dental, PLLC Past Accepting new patients
South Buckner Family Dentistry, PLLC PastSince Dec 27, 2020 Accepting new patients
South West Freeway Family Dentistry, PLLC PastSince Dec 27, 2020 Accepting new patients
Synthesis Renovo Dentistry, PLLC Past Accepting new patients
South Plano Family Dentistry, PLLC PastSince Apr 10, 2022 Accepting new patients
Saratoga Boulevard Family Dental, PLLC Past Accepting new patients
Smile Magic of Lewisville, PLLC Dentist Past Accepting new patients
Lowes Boulevard Family Dentistry, PLLC Dentist PastSince Feb 16, 2020 Accepting new patients
Smile Magic of Denton, PLLC Dentist PastSince Dec 13, 2022 Accepting new patients

Locations

931 FM 1821
Ste C
Mineral Wells, TX 76067
Phone (940) 325-4200

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1407930050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST",
            "address_2": "SUITE 190",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762097557",
            "telephone_number": "940-387-2442",
            "fax_number": "940-387-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST",
            "address_2": "SUITE 190",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762097557",
            "telephone_number": "940-220-7833",
            "fax_number": "940-387-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "EVERETT",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4789",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0023695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.