Organization Active NPI

R Dean Evans DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bluefield, VA
National Provider Identifier
1912917246
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401008042 Issued in VA
Legal business name
R DEAN EVANS DDS PC
Practice address
2201 College Ave
Bluefield, VA 24605-2004
Phone
(276) 322-2212
Fax
(276) 322-0032
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Ralph Dean Evans, DDS MSNPI 1124579891
Title
President
Phone
(276) 322-2212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401008042 VA Primary

Addresses

Primary practice location

2201 College Ave
Bluefield, VA 24605-2004

Mailing address

2201 College Ave
Bluefield, VA 24605-2004
Phone (276) 322-2212

National Provider Directory

National Provider Directory

Locations

2201 College Ave
Bluefield, VA 24605
Phone (276) 322-2212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1912917246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052004",
            "telephone_number": "276-322-2212",
            "fax_number": "276-322-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052004",
            "telephone_number": "276-322-2212",
            "fax_number": "276-322-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DEAN EVANS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-322-2212",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.