ERON J EVANS DDS, PA (NPI# 1508031071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031071 |
| Entity Type | Organization |
| Organization Name | ERON J EVANS DDS, PA |
| Practice Address |
2010 Flandro Dr Pocatello ID 83202-1947 |
| Practice Telephone | 2082380600 |
| Mailing Telephone | 2082380600 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | DR. ERON J. EVANS (PRESIDENT) |
| Authorized Official Telephone | 2082380600 |
| Authorized Official Credential | DDS, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-3891 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807673600 | 05 |
| Street Address |
2010 FLANDRO DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83202-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417960899 | Mary A. Schmidt | Massage Therapist | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2006-08-15 |
| 1114486388 | Hitchcock Chiropractic | Chiropractor | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2019-03-18 |
| 1114422995 | Jonathan Franklin Hitchcock | Chiropractor | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2018-03-26 |
| 1629392626 | Brizzee Family Medicine Inc | Family Medicine | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2010-03-18 |
| 1790890192 | Therapy Links Inc | Occupational Therapist | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| 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 |
|---|---|---|---|---|
| 1982119459 | Good Blood Pllc | Dentist | 4165 Yellowstone Ave, Pocatello, ID 83202-2414 | 2017-12-06 |
| 1952822686 | Connor Fairbanks | Dentist | 921 S 8th Ave Stop 8088, Pocatello, ID 83209-0002 | 2017-07-03 |
| 1326281163 | Care Creek Dental LLC | Dentist | 1169 Call Creek Dr Ste A, Pocatello, ID 83201-3077 | 2009-04-09 |
| 1306005236 | Olympus Family Dental | Dentist | 1598 Delphic Way Ste B, Pocatello, ID 83201-2200 | 2008-06-05 |
| 1730348806 | Call Family Dentistry | Dentist | 1352 E Center St Ste B, Pocatello, ID 83201-4769 | 2008-06-04 |
| 1215102439 | Four Season Dental PC | Dentist | 115 E Chapel Rd, Pocatello, ID 83201 | 2008-04-29 |
| 1174797716 | Carl B. Holm, D.d.s., P.C. | Dentist | 350 E Cedar St, Suite A, Pocatello, ID 83201-3709 | 2008-04-15 |
| 1790999407 | Allied Dental Clinic, PC | Dentist | 1246 Yellowstone Ave Ste B3, Pocatello, ID 83201-4372 | 2007-05-10 |
| 1205957594 | Mary Allison Harper | Dentist | 465 Memorial Dr., Pocatello, ID 83209-8088 | 2007-04-03 |
| 1215072798 | Robert L Fackrell | Dentist | 415 N 3rd Ave Ste A, Pocatello, ID 83201-6306 | 2007-02-21 |
| Find all providers in POCATELLO | ||||
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| 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.