Individual provider Active NPI

Stephanie Berry Evans, DMD

  • Dentist
  • Daphne, AL
National Provider Identifier
1629563598
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6538 Issued in AL
Practice address
6935 US Highway 90 Ste 200
Daphne, AL 36526-9613
Phone
(251) 272-5851
NPI assigned
Jun 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6538 AL Primary

Addresses

Primary practice location

6935 US Highway 90 Ste 200
Daphne, AL 36526-9613

Mailing address

6935 US Highway 90 Ste 200
Daphne, AL 36526-9613
Phone (251) 272-5851

Other practice location 1

7765 Airport Blvd Ste D200
Mobile, AL 36608-5038
Phone (251) 415-5153 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6538ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1629563598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 US HIGHWAY 90 STE 200",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269613",
            "telephone_number": "251-272-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 US HIGHWAY 90 STE 200",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269613",
            "telephone_number": "251-272-5851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7765 Airport Blvd Ste D200",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366085038",
            "country_code": "US",
            "telephone_number": "251-415-5153 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHANIE",
        "middle_name": "BERRY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.