Active NPI
Erik William Evans, DDS, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 35.087935
- Practice address
- 222 Piedmont Ave
Ste. 7300
Cincinnati, OH 45219-2489 - Phone
- (513) 475-8787
- Fax
- (513) 475-7348
- NPI assigned
- Nov 26, 2006
- Last updated
- Feb 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 20929 | OH | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 30.020929 | OH | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 35.087935 | OH | Primary |
| Surgery Physician | 208600000X | 35.087935 | OH |
Addresses
Primary practice location
222 Piedmont Ave
Ste. 7300
Cincinnati, OH 45219-2489
Mailing address
PO Box 630579
Cincinnati, OH 45263-0579
Phone (513) 585-5506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2666959 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20929 | OH | MD | Oral and Maxillofacial Surgery (Dentist) |
| 30.020929 | OH | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 35.087935 | OH | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical-Dental Associates, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Surgery | Current | Accepting new patients |
| Ohio State Dental Faculty Practice Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
222 Piedmont Ave
Ste 7300
Cincinnati, OH 45219
Phone (513) 475-8783
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Surgery
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Cincinnati, OH
- NPI 1649241787
Oral and Maxillofacial Surgery
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Dentist
- Columbus, OH
- NPI 1164537684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1740356534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 630579",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630579",
"telephone_number": "513-585-5506",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PIEDMONT AVE",
"address_2": "STE. 7300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192489",
"telephone_number": "513-475-8787",
"fax_number": "513-475-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ERIK",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OH",
"license": "20929",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "OH",
"license": "30.020929",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "OH",
"license": "35.087935",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.087935",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2666959",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.