Active NPI
Craig S Evans, D.C.
- Chiropractor
- Laurel Springs, NJ
National Provider Identifier
1699166371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00723400
- Practice address
- 3 Jefferson Dr
Laurel Springs, NJ 08021-2719 - Phone
- (856) 228-3100
- Fax
- (856) 228-3108
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00723400 | NJ | Primary |
Addresses
Primary practice location
3 Jefferson Dr
Laurel Springs, NJ 08021-2719
Mailing address
6 Gladstone CT
Mount Laurel, NJ 08054-1909
Phone (724) 549-7814
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00723400 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen Oaks Health and Spine Center LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Laurel Springs, NJ
- NPI 1528384583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1699166371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GLADSTONE CT",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541909",
"telephone_number": "724-549-7814",
"fax_number": "856-228-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 JEFFERSON DR",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212719",
"telephone_number": "856-228-3100",
"fax_number": "856-228-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CRAIG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00723400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel Springs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.