Mitchell B Evedon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10486 Issued in FL

Practice address

800 E Hallandale Beach Blvd
Suite 10
Hallandale Beach, FL 33009-4477

Phone

(954) 456-7000

Fax

(954) 456-7111

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert a. Evedon D.D.S. P.a.

  • General Practice Dentistry
  • Hallandale Beach, FL
  • NPI 1730270646
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861583965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 10",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094477",
            "telephone_number": "954-456-7000",
            "fax_number": "954-456-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 10",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094477",
            "telephone_number": "954-456-7000",
            "fax_number": "954-456-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVEDON",
        "first_name": "MITCHELL",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariagna Escalante, FNP
• Yaima Escandon I
• Adam Eshel
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• Eternal Aura Home Health
• Everchanging Therapy Inc
• Everest Home Care
• Evolve Behavioral Services Corp
• Tammy T Ewing, APRN
• Jesus Carlos Fabregas Mercado, M.D.

• General Practice Dentistry in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.