Individual provider Active NPI

Paxton Alexander Evans

  • Dentist
  • Rogers, AR
National Provider Identifier
1639064454
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4851 Issued in AR
Practice address
4001 W Financial Pkwy
Rogers, AR 72758-1449
Phone
(479) 636-8700
NPI assigned
Jun 11, 2025
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4851 AR Primary

Addresses

Primary practice location

4001 W Financial Pkwy
Rogers, AR 72758-1449

Mailing address

3306 Ashebury PT
Greenwood, AR 72936-6841
Phone (479) 430-3677

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
4851ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Dental Professionals, Mongrain, P.a. PastSince Dec 14, 2025 Accepting new patients
Roberts and Criswell DDS PA PastSince Jun 15, 2025 Accepting new patients
Walton Dental, PLLC PastSince Jun 15, 2025 Accepting new patients
Ann Hubbs Family Dentistry Inc Dentist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1639064454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 ASHEBURY PT",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366841",
            "telephone_number": "479-430-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W FINANCIAL PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581449",
            "telephone_number": "479-636-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PAXTON",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.