Organization Active NPI

Catherine B Evans Family Dentistry

  • General Practice Dentistry
  • Lillington, NC
National Provider Identifier
1871504464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5011 Issued in NC
Legal business name
CATHERINE B EVANS FAMILY DENTISTRY
Practice address
205 W Front St
Lillington, NC 27546-1296
Phone
(910) 893-5721
Fax
(910) 893-8107
NPI assigned
Aug 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Catherine B Evans, DDS
Title
Dentist
Phone
(910) 893-5721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5011 NC Primary

Addresses

Primary practice location

205 W Front St
Lillington, NC 27546-1296

Mailing address

PO Box 1296
Lillington, NC 27546-1296
Phone (910) 893-5721

Other identifiers 1

IdentifierTypeStateIssuer
8992514MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871504464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275461296",
            "telephone_number": "910-893-5721",
            "fax_number": "910-893-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W FRONT ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275461296",
            "telephone_number": "910-893-5721",
            "fax_number": "910-893-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE B EVANS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-893-5721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.