Organization Active NPI

Frank J Evans, DDS, PLLC

  • Dentist
  • Fort Gibson, OK
National Provider Identifier
1457878019
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FRANK J EVANS, DDS, PLLC
Practice address
802 S Lee St
Fort Gibson, OK 74434-8709
Phone
(918) 478-3160
Fax
(918) 478-3160
NPI assigned
Aug 24, 2017
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Frank J Evans, DDS, PLLCNPI 1942352919
Title
Owner
Phone
(918) 478-2341

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

802 S Lee St
Fort Gibson, OK 74434-8709

Mailing address

PO Box 206
Fort Gibson, OK 74434-0206
Phone (918) 478-2341

National Provider Directory

National Provider Directory

Locations

802 S Lee St
Fort Gibson, OK 74434
Phone (918) 478-2341

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": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1457878019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744340206",
            "telephone_number": "918-478-2341",
            "fax_number": "918-478-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S LEE ST",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348709",
            "telephone_number": "918-478-3160",
            "fax_number": "918-478-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J EVANS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-478-2341",
        "authorized_official_credential": "DDS, PLLC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gibson, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.