Individual provider Active NPI

Tempestt Juanita Evans, DDS

  • General Practice Dentistry
  • New Bedford, MA
National Provider Identifier
1578054607
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858930 Issued in MA
Practice address
1054 Kings Hwy
New Bedford, MA 02745-4949
Phone
(508) 995-0340
Fax
(508) 995-0435
NPI assigned
May 24, 2018
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1858930 MA Primary

Addresses

Primary practice location

1054 Kings Hwy
New Bedford, MA 02745-4949

Mailing address

1054 Kings Hwy
New Bedford, MA 02745-4949
Phone (508) 995-0340

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20191021002927 TX Order and Referring Only - DentistPractitioner - Dentist 9537491766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mashpee Service Unit/Indian Health Service CurrentSince Sep 1, 2019 Accepting new patients

Locations

483 Great Neck Rd S
Mashpee, MA 02649
Phone (508) 477-0208

483 Great Neck Rd S
#C
Mashpee, MA 02649

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1578054607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 KINGS HWY",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454949",
            "telephone_number": "508-995-0340",
            "fax_number": "508-995-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 KINGS HWY",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454949",
            "telephone_number": "508-995-0340",
            "fax_number": "508-995-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TEMPESTT",
        "middle_name": "JUANITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "483 Great Neck Rd S",
            "city": "Mashpee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.