DR. EVAN HART (NPI# 1306907530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306907530 |
| Entity Type | Individual |
| Full Name | DR. EVAN HART |
| Credential | DMD |
| Practice Address |
1631 Wetzel Avenue, Bldg 815 Us Army Dental Activity, Attn Credentials Office Fort Carson CO 80913 |
| Practice Telephone | 7195265537 |
| Practice Fax Number | 7195265551 |
| Mailing Telephone | 7195265537 |
| Mailing Fax Number | 7195265551 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN-10669 | CO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
008886 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
049231-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821643164 | Evan Michael Hart | Physical Medicine & Rehabilitation | 714 Dublin St, New Orleans, LA 70118-1022 | 2019-08-05 |
| 1508043910 | Evan Hart | Social Worker | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2008-01-28 |
| Street Address |
1631 WETZEL AVENUE, BLDG 815 US ARMY DENTAL ACTIVITY, ATTN CREDENTIALS OFFICE |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055850 | Dale Lawrence Giebink | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2005-12-29 |
| 1376711580 | Anna Girard Frederick | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2008-02-11 |
| 1992992838 | Jeremy Lathan Hood | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2007-09-25 |
| 1841376266 | Harland G Lewis Jr. | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-10-27 |
| 1689787053 | William Charles Mitchell | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-08-17 |
| 1730108200 | Robert Henry Heun | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-07-18 |
| 1881641785 | Jeff Reid Macpherson | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-05-27 |
| 1831148519 | Matthew J.c. Oliver | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-05-09 |
| 1811955321 | James K Schmitt | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-05-03 |
| 1194797589 | Monica Joyce Arellano | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1578892717 | Nathan N Batrice | Dentist | 1631 Wetzel Ave, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2009-12-17 |
| 1629055850 | Dale Lawrence Giebink | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2005-12-29 |
| 1497732622 | Mark Eugene Mcclary | Dentist | 1631 Wetzel Ave, Bldg 815, Attn: Mcds-be, U.S. Army Dental Activity, Fort Carson, CO 80913 | 2005-12-29 |
| 1285619783 | Gary James Valiant | Dentist | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2005-12-07 |
| 1376165373 | Lawrence Brown Anderson II | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-05-12 |
| 1285150805 | Ivy Nguyen Seibt | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2017-08-15 |
| 1609325497 | Yuanbing Gong | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2016-09-22 |
| 1740444579 | Mary Scott Stuart | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2008-07-10 |
| 1376711580 | Anna Girard Frederick | Dentist | 1631 Wetzel Avenue, Bldg 815, Us Army Dental Activity, Fort Carson, CO 80913 | 2008-02-11 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on DR. EVAN HART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.