Organization Active NPI

James G. Evans D.D.S., Inc.

  • Dental Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1609995109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
013030 Issued in MO
Legal business name
JAMES G. EVANS D.D.S., INC.
Practice address
1400 Triad Center Dr
Saint Peters, MO 63376-7351
Phone
(636) 441-7440
Fax
(636) 441-9594
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Glennon Evans, D.D.S.NPI 1669488920
Title
Dentist
Phone
(636) 441-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 013030 MO Primary

Addresses

Primary practice location

1400 Triad Center Dr
Saint Peters, MO 63376-7351

Mailing address

1400 Triad Center Dr
Saint Peters, MO 63376-7351
Phone (636) 441-7440

Other names 1

  • Triad Dental Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609995109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TRIAD CENTER DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767351",
            "telephone_number": "636-441-7440",
            "fax_number": "636-441-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TRIAD CENTER DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767351",
            "telephone_number": "636-441-7440",
            "fax_number": "636-441-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G. EVANS D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GLENNON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-441-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "013030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.