Evolution Dental Alliance

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVOLUTION DENTAL ALLIANCE

Practice address

507 S Washington St Ste 190
Spokane, WA 99204-2608

Phone

(509) 566-0000

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joel Blake, DMD

Title

Chief Clinical Officer

Phone

(509) 822-2209

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1689175309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST STE 40",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST STE 190",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042608",
            "telephone_number": "509-566-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION DENTAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "509-822-2209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyx Maeve Everly, LMCHA
• Molly C Everson, MS, CCC-SLP
• Everwell Counseling PLLC
• Everything in Sight
• Melanie Evjen, LICSWA
• Jolie Ewart, ARNP
• Todd Ewert, MD
• Valerie Ann Ewert, CNM
• Evan Ewing, DPT
• Brittany Ann Ewry, MA

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.