Active NPI
Richard B. Evans, D.D.S., Inc.
- Dental Clinic/Center
- La Mesa, CA
National Provider Identifier
1497048664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 31914
- Legal business name
- RICHARD B. EVANS, D.D.S., INC.
- Practice address
- 8530 La Mesa Blvd Ste 204
La Mesa, CA 91942-0966 - Phone
- (619) 494-2492
- Fax
- (619) 460-0707
- NPI assigned
- May 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard B. Evans, D.D.S.
- Title
- President
- Phone
- (760) 468-1828
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Orofacial Pain Dentistry | 1223X2210X | |||
| Dental Hygienist | 124Q00000X | |||
| Dental Clinic/Center | 261QD0000X | 31914 | CA | Primary |
Addresses
Primary practice location
8530 La Mesa Blvd Ste 204
La Mesa, CA 91942-0966
Mailing address
8530 La Mesa Blvd Ste 204
La Mesa, CA 91942-0966
Phone (619) 494-2492
Other names 1
- Summit Dental of La Mesa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- La Mesa, CA
- NPI 1811259856
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- La Mesa, CA
- NPI 1780673202
-
- Dentist
- La Mesa, CA
- NPI 1932435955
-
- General Practice Dentistry
- La Mesa, CA
- NPI 1417524539
-
- General Practice Dentistry
- Novato, CA
- NPI 1033748066
-
- Dentist
- San Diego, CA
- NPI 1073706826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781136000000",
"number": "1497048664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8530 LA MESA BLVD STE 204",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420966",
"telephone_number": "619-494-2492",
"fax_number": "619-460-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 LA MESA BLVD STE 204",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420966",
"telephone_number": "619-494-2492",
"fax_number": "619-460-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD B. EVANS, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-22",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-468-1828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "31914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Dental of La Mesa",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summit Dental of La Mesa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.