Organization Active NPI

Evon Chiropractic, PC

  • Chiropractor
  • Yardley, PA
National Provider Identifier
1740205251
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007776L Issued in PA
Legal business name
EVON CHIROPRACTIC, PC
Practice address
206 Floral Vale Blvd
Yardley, PA 19067-5524
Phone
(215) 504-7200
Fax
(215) 504-7201
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Michael Thomas Evon, DCNPI 1689691149
Title
Owner Chiropractor
Phone
(215) 504-7200

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007776L PA Primary

Addresses

Primary practice location

206 Floral Vale Blvd
Yardley, PA 19067-5524

Mailing address

9 Wilfred Dr
Yardley, PA 19067-2050
Phone (215) 295-2607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061017000343 PA Part B Supplier - Clinic/Group Practice 4981600863 Receives reassigned benefits from 1 practitioner
Practice locations: Yardley, PA

National Provider Directory

National Provider Directory

Locations

206 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 504-7200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1740205251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILFRED DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190672050",
            "telephone_number": "215-295-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675524",
            "telephone_number": "215-504-7200",
            "fax_number": "215-504-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVON CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "EVON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "215-504-7200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007776L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.