Individual provider Active NPI

Susan Evans, D.D.S, P.A.

  • General Practice Dentistry
  • Hutchinson, KS
National Provider Identifier
1669873162
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6173 Issued in KS
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

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1326149196OtherKSORGANIZATION NPI
6173OtherKSSTATE 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

LicenseStateTypeSpecialty
6173KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.