Evan C. Chalk, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

0438000335 Issued in VA

Practice address

1922 Thomson Dr
Lynchburg, VA 24501-1019

Phone

(434) 845-1121

Fax

(434) 845-1096

NPI assigned

Jul 9, 2008

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 18, 2019 through Sep 18, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evan Chalk DMD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynchburg, VA
  • NPI 1922839638
  Authorized official Same address or phone
• William Carvajal DDS MD Inc

  dba Central Virginia Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynchburg, VA
  • NPI 1902952021
  NPD (past)
• Oral & Maxillofacial Surgeons P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Doylestown, PA
  • NPI 1487659991
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1558524561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011019",
            "telephone_number": "434-845-1121",
            "fax_number": "434-845-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011019",
            "telephone_number": "434-845-1121",
            "fax_number": "434-845-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALK",
        "first_name": "EVAN",
        "middle_name": "C.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000335",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Virginia Medical Center LLC (Central Virginia Medical Center)
• Central Virginia Orthodontics, P.C.
• Bram Chaconas
• Lauren Ashley Chadwick
• Kenneth Reid Chalfant, D.D.S.
• Jenna Schneider Chalk, D.D.S.
• Cynthia Chamberland, LPC
• Brandi Chamberlin, PHD, LPC
• Christine Chamberlin
• Kathleen Champlin

• Oral & Maxillofacial Surgery (D.M.D.) in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.