Evenly Mid-Atlantic, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

EVENLY MID-ATLANTIC, PLLC

Practice address

624 Greythorne Rd
Wynnewood, PA 19096-2509

Phone

(800) 500-0493

Fax

(301) 520-8185

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Walker, DDS

Title

Member

Phone

(800) 500-0493

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1952906117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 FAIRFAX RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141241",
            "telephone_number": "301-526-7745",
            "fax_number": "202-591-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 GREYTHORNE RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962509",
            "telephone_number": "800-500-0493",
            "fax_number": "301-520-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENLY MID-ATLANTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-500-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Wynnewood, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.