Evans Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1306 Issued in MN

Legal business name

EVANS CHIROPRACTIC PA

Practice address

4010 W 65TH St
#217
Edina, MN 55435-1721

Phone

(952) 929-3602

Fax

(952) 929-4269

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dean R Evans, D.C.

Title

Owner

Phone

(959) 929-3602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1841459237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W 65TH ST",
            "address_2": "#217",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351721",
            "telephone_number": "952-929-3602",
            "fax_number": "952-929-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W 65TH ST",
            "address_2": "#217",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351721",
            "telephone_number": "952-929-3602",
            "fax_number": "952-929-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "959-929-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22321EV",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Living LLC
• Isabel E Essler, PA-C
• Esther Vogelzang MSW Licsw LLC
• Esthesia Oral Surgery Care, PA
• Jerome Edward Euteneuer, D.D.S.
• Dean R Evans, D.C.
• Robert Evans, RPH
• Sarah Evans, PSYD, LP
• Evelyn Nerenberg
• David Evenson, M.D.

• Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.