GREGORY D. EVANS DDS PC (NPI# 1912167172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912167172 |
| Entity Type | Organization |
| Organization Name | GREGORY D. EVANS DDS PC |
| Practice Address |
1220 Oak Park Dr Fort Collins CO 80525-7302 |
| Mailing Address |
3221 Eastbrook Drive A-101 Fort Collins CO 80525 |
| Practice Telephone | 9704071020 |
| Practice Fax Number | 9704545436 |
| Mailing Telephone | 9704071020 |
| Mailing Fax Number | 9702668238 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | STACEY E EVANS (OFFICE MANAGER) |
| Authorized Official Telephone | 9704071020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7679 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 79155260 | 05 |
| Street Address |
1220 OAK PARK DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972656338 | Angie Lee | Dentist | 1220 Oak Park Dr, Suite 110, Fort Collins, CO 80525 | 2007-01-19 |
| 1881142263 | Ncdi Adults Professional LLP | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7348 | 2016-09-14 |
| 1275089617 | Ncdi Oak, Profession LLP | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7348 | 2016-08-26 |
| 1598103384 | Svc Dental Group, LLC | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7302 | 2013-06-13 |
| 1033373576 | Owen K Sanders | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7302 | 2008-07-14 |
| 1083883532 | Thomas F. Overton | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7302 | 2008-02-28 |
| 1487700126 | Toothzone, L.l.c | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7302 | 2007-01-26 |
| 1710033634 | William Kent Obermann | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7302 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871850131 | Moira Gini Groh | Dentist | 2121 Midpoint Dr Ste 102, Fort Collins, CO 80525 | 2012-04-11 |
| 1568765105 | Mountain Kids Pediatric Dentistry | Dentist | 2016 Orchard Pl, Fort Collins, CO 80521-3213 | 2010-12-20 |
| 1760708127 | Joseph L Jackson | Dentist | 1241 Riverside Ave, Fort Collins, CO 80524-3204 | 2010-04-10 |
| 1144498999 | Pediatric Dentistry of The Rockies Pllc | Dentist | 4609 S Timberline Rd, Suite 103b, Fort Collins, CO 80528-3170 | 2008-02-14 |
| 1366585408 | Keith Allen Van Tassell | Dentist | 2001 S Shields St Bldg A, Suite 2, Fort Collins, CO 80526-1827 | 2007-02-15 |
| 1215083142 | Gregory Dean Evans | Dentist | 3221 Eastbrook Dr, A-101, Fort Collins, CO 80525 | 2007-01-25 |
| 1992894562 | Jennifer K Hargleroad | Dentist | 2105 Bighorn Rd Ste 202, Fort Collins, CO 80525-3575 | 2006-10-12 |
| 1033207329 | Marykate Rusnak | Dentist | 3600 Mitchell Drive, Suite 40, Mountain Kids Pediatric Dentistry, Fort Collins, CO 80525 | 2006-10-11 |
| 1730635178 | Ncdi Drake, Professional LLP | Dentist | 383 W Drake Rd, Suite 103, Fort Collins, CO 80526-2884 | 2016-08-26 |
| 1275089617 | Ncdi Oak, Profession LLP | Dentist | 1220 Oak Park Dr, Fort Collins, CO 80525-7348 | 2016-08-26 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.