Active NPI
Dwayne Boyd Evans, DC
- Chiropractor
- Nicholasville, KY
National Provider Identifier
1699842625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4622
- Practice address
- 934 S Main St
Nicholasville, KY 40356 - Phone
- (859) 881-4325
- Fax
- (859) 881-3897
- NPI assigned
- Nov 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4622 | KY | Primary |
| Chiropractor | 111N00000X | 17124 | CA |
Addresses
Primary practice location
934 S Main St
Nicholasville, KY 40356
Mailing address
934 S Main St
Nicholasville, KY 40356
Phone (859) 881-4325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000192741 | Other | KY | ANTHEM |
| 85001782 | Medicaid | KY |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1699842625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 S MAIN ST",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "859-881-4325",
"fax_number": "859-881-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 S MAIN ST",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "859-881-4325",
"fax_number": "859-881-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DWAYNE",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4622",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17124",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000192741",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001782",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.