John K Eversman DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30013665 Issued in OH

Legal business name

JOHN K EVERSMAN DDS INC

Practice address

120 W Main St
Suite 300
Van Wert, OH 45891

Phone

(419) 238-1774

Fax

(419) 238-2110

NPI assigned

Aug 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John K Eversman, DDS

Title

Pres

Phone

(419) 238-1774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447368915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "address_2": "SUITE 300",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "419-238-1774",
            "fax_number": "419-238-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "address_2": "SUITE 300",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "419-238-1774",
            "fax_number": "419-238-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K EVERSMAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVERSMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "419-238-1774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30013665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.