Roy Clark Evans, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2803 Issued in WA

Practice address

1217 4TH Ave E
Suite 200
Olympia, WA 98506-4246

Phone

(360) 570-8151

Fax

(360) 943-6602

NPI assigned

Feb 20, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cascade Chiropractic, Inc., P.S.

  • Chiropractor
  • Olympia, WA
  • NPI 1760541270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1609911304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 STATE AVE NE",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064556",
            "telephone_number": "360-570-8151",
            "fax_number": "360-943-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064246",
            "telephone_number": "360-570-8151",
            "fax_number": "360-943-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH2803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2579480",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0292244",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "EV5391",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joung Evans, ARNP
• Keith Evans
• Latoya Evans
• Natalie Elizabeth Evans, DDS
• Paige Ann Evans, RD
• Michael C Eveland, ARNP
• Evergreen Family Medicine, Inc., P.S.
• Evergreen Family Practice, PLLC
• Evergreen Integrative Psychiatry PLLC
• Evergreen Psychological Services

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.