Organization Active NPI

Evans JM, LLC.

Doing business as Advanced Chiropractic of South Hills

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1679206072
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVANS JM, LLC.
Doing business as
Advanced Chiropractic of South Hills
Practice address
427 Cochran Rd
Pittsburgh, PA 15228-1211
Phone
(412) 531-4800
Fax
(412) 531-7788
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Joshua M Evans, D.C.NPI 1083169007
Title
President
Phone
(412) 531-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

427 Cochran Rd
Pittsburgh, PA 15228-1211

Mailing address

427 Cochran Rd
Pittsburgh, PA 15228-1211
Phone (412) 531-4800

Other identifiers 2

IdentifierTypeStateIssuer
1041362700001MedicaidPA
1033294130001MedicaidPA

Other names 1

  • Advanced Chiropractic of South Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802003063 PA Part B Supplier - Clinic/Group Practice 5193107530 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

305 Mount Lebanon Blvd
Ste 10
Pittsburgh, PA 15234
Phone (412) 531-4800

427 Cochran Rd
Pittsburgh, PA 15228
Phone (412) 531-4800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1679206072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 COCHRAN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281211",
            "telephone_number": "412-531-4800",
            "fax_number": "412-531-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 COCHRAN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281211",
            "telephone_number": "412-531-4800",
            "fax_number": "412-531-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS JM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-531-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041362700001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033294130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic of South Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Chiropractic of South Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.