Active NPI
James G. Evans D.D.S., Inc.
- Dental Clinic/Center
- Saint Peters, MO
National Provider Identifier
1609995109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 013030
- 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, 2020
- 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. James Glennon Evans, D.D.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Saint Peters, MO
- NPI 1669488920
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.