EVANS FAMILY DENTISTRY PLLC (NPI# 1699935676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699935676 |
| Entity Type | Organization |
| Organization Name | EVANS FAMILY DENTISTRY PLLC |
| Practice Address |
8149 E 31st St Ste D Tulsa OK 74145-1724 |
| Practice Telephone | 9186652676 |
| Practice Fax Number | 9186415743 |
| Mailing Telephone | 9186652676 |
| Mailing Fax Number | 9186415743 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | MRS. MARY J CONNAUGHTON (OFFICE MANAGER) |
| Authorized Official Telephone | 9186652676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 3933 | OK | Managed Care Organizations |
| Street Address |
8149 E 31ST ST STE D |
| City | TULSA |
| State | OK |
| Zip Code | 74145-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526881 | William R Evans | Dentist | 8149 E 31st St, Ste D, Tulsa, OK 74145-1724 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598198780 | Primary Care Physicians of Tulsa Region PC | Preferred Provider Organization | 8005 E 106th St, Tulsa, OK 74133-6600 | 2013-08-12 |
| 1083052724 | Creoaks Behavioral Health Services | Preferred Provider Organization | 2725 East Skelly Drive Ste. 202, Tulsa, OK 74105 | 2013-06-04 |
| 1427322361 | Blue and Red Dental LLC | Preferred Provider Organization | 2840 E 101st St, Tulsa, OK 74137-5601 | 2012-02-23 |
| 1265800015 | Scholle Chiropractic LLC | Preferred Provider Organization | 2251 E Skelly Dr, Suite 101, Tulsa, OK 74105-6062 | 2015-09-10 |
| 1275895344 | Tulsa Precision Dental | Preferred Provider Organization | 7104 S Sheridan Rd Ste 8, Tulsa, OK 74133-2765 | 2012-06-13 |
| 1669648721 | Brett B. Dieterlen D.d.s., P.C. | Preferred Provider Organization | 3015 E 91st St, Tulsa, OK 74137-3324 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518316272 | Johnson Family Chiropractic Clinic | Preferred Provider Organization | 11914 N Pennsylvania Ave, Suite B3, Oklahoma City, OK 73120-7831 | 2016-06-03 |
| 1427455542 | Refresh Dentistry | Preferred Provider Organization | 732 W New Orleans St, Suite 132, Broken Arrow, OK 74011-1803 | 2014-12-04 |
| 1568885002 | Douglas Counseling | Preferred Provider Organization | 1 Buffalo Dr, Mcalester, OK 74501-4270 | 2014-02-03 |
| 1528408523 | Altus Premier Health Clinic P.l.l.c. | Preferred Provider Organization | 304 S Park Ln Ste B, Altus, OK 73521-5754 | 2013-07-05 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1205105160 | Christi Miller | Preferred Provider Organization | 3337 Sw 48th St, Oklahoma City, OK 73119-4328 | 2011-12-22 |
| 1023398062 | Youthcare of Oklahoma | Preferred Provider Organization | 11297 N 1976 Rd, Elk City, OK 73644-6002 | 2011-08-22 |
| 1437470242 | New Beginnings Group Home | Preferred Provider Organization | 817 Ne 61st St, Oklahoma City, OK 73105-6406 | 2010-06-15 |
| 1750556536 | All Smiles Dentistry, P.C. | Preferred Provider Organization | 6401 Nw Expressway Ste 132, Oklahoma City, OK 73132-5142 | 2008-04-23 |
| 1497929400 | Michael E Nelson Dds, Inc | Preferred Provider Organization | 2025 W Elk Ave Ste A, Duncan, OK 73533-1601 | 2008-04-22 |
| Find all providers with the same taxonomy | ||||
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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.