Stephen James Evans, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010654 Issued in MO

Practice address

8385 Orchard St
Rogers, AR 72756-9705

Phone

(479) 789-7478

Fax

(479) 789-7478

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619186772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8385 ORCHARD ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569705",
            "telephone_number": "479-789-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 ORCHARD ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569705",
            "telephone_number": "479-789-7478",
            "fax_number": "479-789-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "010654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Mural Esry, D.D.S
• Amber Estes, RDN
• Ettienne R Van Zyl, DDS, PLLC (Ozark Comprehensive Dentistry)
• Kati Evans, D.P.T.
• Paxton Alexander Evans
• Everest Rehabilitation Hospital Bentonville, LLC (Everest Rehabilitation Hospital Bentonville)
• Exo Dental PLLC (Exo Dental)
• Eyemart Express LLC
• Johnnie Daniel Ezell
• Ruth Joan Fadely, MA, CCC-SLP

• General Practice Dentistry in Rogers, AR
• Providers in Rogers, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.