Marius a Evans DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

DE015685 Issued in MO

Legal business name

MARIUS A EVANS DDS PC

Practice address

9911 Kennerly Rd
Suite G
St Louis, MO 63128

Phone

(314) 849-0999

Fax

(314) 849-1385

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marius A Evans, DDSNPI 1245629302

Title

Dentist

Phone

(314) 849-0999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marius Antonio Evans, D.D.S.

  • Dentist
  • Saint Louis, MO
  • NPI 1245629302
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1689731192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD",
            "address_2": "SUITE G",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-0999",
            "fax_number": "314-849-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD",
            "address_2": "SUITE G",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-0999",
            "fax_number": "314-849-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIUS A EVANS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARIUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-849-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE015685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Elaina Marino, MD
• Vincent Joseph Marino, M.S.W., M.A.
• Rose Marinucci
• Leslie Marion-Lowe
• Keyuante Marion
• Mark a.Scheperle, Inc.
• Mark and Julie Mann LLC (Synergy HomeCare St. Louis)
• Mark D. Meyers DDS, PC
• Mark F Heiland, PHD, Licensed Psychologist, LLC
• Mark F. Hesker, D.D.S., P.C.

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.