Karl Evanoff, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901021800 Issued in MI

Legal business name

KARL EVANOFF, DDS, PLLC

Doing business as

Evanoff Dental

Practice address

2243 E Apple Ave
Suite a
Muskegon, MI 49442-4391

Phone

(231) 773-8110

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karl Evanoff, DDSNPI 1609221928

Title

Owner

Phone

(419) 283-4422

Specialties & licenses 1

Addresses

Other names 1

• Evanoff Dental Doing business as

Locations

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.

• Karl Evanoff, D.D.S.

  • Dentist
  • Muskegon, MI
  • NPI 1609221928
  NPD Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1871039271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 E APPLE AVE",
            "address_2": "SUITE A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424391",
            "telephone_number": "231-773-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 E APPLE AVE",
            "address_2": "SUITE A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424391",
            "telephone_number": "231-773-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL EVANOFF, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "EVANOFF",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-283-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evanoff Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reginald W Kapteyn, DO
• Victoria Rose Karcis, NP
• Karen L Seaver MD PLC
• Shirley Karikas, HHA
• Allison Renee Karis
• Mark T Karnes, DO
• Lyle Karp
• Denise Ann Kater, RN
• Katherine Jawor DO PLLC
• Mark Charles Kaufman, M.A.

• Dental Clinic/Center in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.