Active NPI
Angela S. Evanson, D.D.S., PC
- Dentist
- Parker, CO
National Provider Identifier
1730569781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7556
- Legal business name
- ANGELA S. EVANSON, D.D.S., PC
- Practice address
- 17167 E. Cedar Gulch Pkwy
#202
Parker, CO 80134 - Phone
- (303) 805-9999
- NPI assigned
- Jun 4, 2015
- Last updated
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela S. Evanson, DDS
- Title
- Owner/President
- Phone
- (303) 805-9999
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7556 | CO | Primary |
Addresses
Primary practice location
17167 E. Cedar Gulch Pkwy
#202
Parker, CO 80134
Mailing address
17167 E. Cedar Gulch Pkwy
#202
Parker, CO 80134
Phone (303) 805-9999
National Provider Directory
National Provider DirectoryLocations
17167 Cedar Gulch Pkwy
Ste 202
Parker, CO 80134
Phone (303) 805-9999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Parker, CO
- NPI 1558431833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1730569781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17167 E. CEDAR GULCH PKWY",
"address_2": "#202",
"city": "PARKER",
"state": "CO",
"postal_code": "80134",
"telephone_number": "303-805-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17167 E. CEDAR GULCH PKWY",
"address_2": "#202",
"city": "PARKER",
"state": "CO",
"postal_code": "80134",
"telephone_number": "303-805-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA S. EVANSON, D.D.S., PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "EVANSON",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "303-805-9999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "7556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.