Active NPI
Susan Evans, D.D.S, P.A.
- General Practice Dentistry
- Hutchinson, KS
National Provider Identifier
1669873162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6173
- Practice address
- 1619 N Lorraine St
Hutchinson, KS 67501-5656 - Phone
- (620) 663-5297
- Fax
- (620) 669-5285
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6173 | KS | Primary |
Addresses
Primary practice location
1619 N Lorraine St
Hutchinson, KS 67501-5656
Mailing address
1619 N Lorraine St
Hutchinson, KS 67501-5656
Phone (620) 663-5297
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326149196 | Other | KS | ORGANIZATION NPI |
| 6173 | Other | KS | STATE LICENSE NUMBER |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6173 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan K. Evans, DDS, PA. | Current | Accepting new patients | |
| Kansleep Solutions | Current | Accepting new patients | |
| Susan K. Evans, DDS, PA. | General Practice | Current | Accepting new patients |
Locations
2901B N Lorraine St
Ste A
Hutchinson, KS 67502
Phone (620) 669-0411
1619 N Lorraine St
Hutchinson, KS 67501
Phone (620) 663-5297
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Hutchinson, KS
- NPI 1720933757
-
- Durable Medical Equipment & Medical Supplies
- Hutchinson, KS
- NPI 1346882255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1669873162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 N LORRAINE ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015656",
"telephone_number": "620-663-5297",
"fax_number": "620-669-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 N LORRAINE ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015656",
"telephone_number": "620-663-5297",
"fax_number": "620-669-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "D.D.S, P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION NPI",
"identifier": "1326149196",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "6173",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.