Alan Blake Evans, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07985 Issued in IA

Practice address

1612 Plaza Place
Muscatine, IA 52761-5364

Phone

(563) 264-1180

Fax

(563) 288-2776

NPI assigned

Dec 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alan B. Evans D.D.S., P.C.

  • General Practice Dentistry
  • Muscatine, IA
  • NPI 1316114580
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487714937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 PLAZA PLACE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615364",
            "telephone_number": "563-264-1180",
            "fax_number": "563-288-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 PLAZA PLACE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615364",
            "telephone_number": "563-264-1180",
            "fax_number": "563-288-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALAN",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191080",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Embree, IADC
• Emergency Medical Services PC
• Empowerme Asl, LLC
• Makayla Erby
• Eunice Essien
• Ruth Anne Evans, PH.D.
• Aaron Jason Eversmeyer, PT
• Ryan Taylor Eyberg, CRNA
• Family Chiropractic Sports Injury & Rehab Inc
• Family Eye Center

• General Practice Dentistry in Muscatine, IA
• Providers in Muscatine, IA by specialty
• General Practice Dentistry in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.