Mark A Evinger, DDS DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA40075 Issued in CA

Practice address

9010 Campo Road
Spring Valley, CA 91977-1111

Phone

(619) 461-1892

Fax

(619) 461-5228

NPI assigned

Jan 26, 2007

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

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477609204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 CAMPO ROAD",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771111",
            "telephone_number": "619-461-1892",
            "fax_number": "619-461-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 CAMPO ROAD",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771111",
            "telephone_number": "619-461-1892",
            "fax_number": "619-461-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVINGER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA40075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emg
• Encompass Family Physician Medical Group
• Paolo Sal Errico
• Saul Joaquin Estavillo, MFT-INTERN
• Denise D Evangelista, PT, DPT
• Latoya Facey
• Family Health Centers of San Diego
• Family Health Centers of San Diego (Grossmont Spring Valley Family Health Center)
• Family Health Centers of San Diego
• Family Health Centers of San Diego (Grossmont Spring Valley Family Health Center)

• General Practice Dentistry in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• General Practice Dentistry 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.