DR. MARK EVANS (NPI# 1750731212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750731212 |
| Entity Type | Individual |
| Full Name | DR. MARK EVANS |
| Credential | DMD |
| Practice Address |
1601 12th Ave Rd Nampa ID 83686-7711 |
| Practice Telephone | 2084679690 |
| Mailing Telephone | 2084679690 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4758 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| 1992970362 | Mark C Evans | Dentist | 3424 First Ave, San Diego, CA 92103 | 2008-04-28 |
| 1427228428 | Mark Evans | Registered Nurse | 198 Upper Powderly St, Carbondale, PA 18407-2777 | 2008-03-05 |
| 1508084856 | Mark T Evans | Dentist | 1676 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3304 | 2007-04-23 |
| 1437373487 | Mark Kendal Evans | Psychologist | 2650 Madison Rd, Cincinnati, OH 45208-1332 | 2007-04-12 |
| 1205969524 | Mark Edward Evans | Dentist | 8925 Executive Park Dr, Knoxville, TN 37923-4708 | 2007-03-14 |
| 1285784025 | Mark D Evans | Dentist | 315 Lamar St., Maryville, TN 37804-5848 | 2007-01-12 |
| 1205928983 | Mark Anthony Evans | Physician Assistant | 417 N Main, Grainte, OK 73547 | 2006-09-29 |
| 1568479087 | Mark Alan Evans | Family Medicine | 3567 Scioto Run Blvd, Hilliard, OH 43026-3013 | 2006-08-01 |
| 1972542686 | Mark Peter Evans | Acupuncturist | 1829 Riverside Dr, Berlin, NH 03570-3143 | 2006-06-06 |
| Street Address |
1601 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730370065 | Jarom L John | Dentist | 1601 12th Ave Rd, Suite 103, Nampa, ID 83686-7711 | 2007-08-01 |
| 1518371251 | Paul J Clawson | Dentist | 1601 12th Ave Rd, Ste 103, Nampa, ID 83686-7711 | 2014-06-19 |
| 1063604429 | Mark T Mcdonald | Dentist | 1601 12th Ave Rd, Suite 103, Nampa, ID 83686-7711 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942600390 | Tristan Galloway Dds Pllc | Dentist | 820 17th Ave S, Nampa, ID 83651-4740 | 2014-09-03 |
| 1679889398 | Tristan Galloway | Dentist | 3600 S Midland Blvd, Nampa, ID 83686-8215 | 2010-08-19 |
| 1386875136 | Quinn J Smith | Dentist | 11136 Moss Ln, Nampa, ID 83651-8015 | 2009-07-28 |
| 1730319500 | Bryan John Dille | Dentist | 108 S Powerline Rd, Nampa, ID 83686-5439 | 2009-07-15 |
| 1730370065 | Jarom L John | Dentist | 1601 12th Ave Rd, Suite 103, Nampa, ID 83686-7711 | 2007-08-01 |
| 1730379793 | Chris Satchwell | Dentist | 16377 N Marketplace Blvd, Nampa, ID 83687-7910 | 2007-07-26 |
| 1225195282 | Ryan M Payne | Dentist | 222 W Iowa Ave Ste 200, Nampa, ID 83686-6814 | 2007-01-02 |
| 1760556922 | Jared Travis French | Dentist | 4411 E Flamingo Ave, Nampa, ID 83687-3113 | 2006-11-20 |
| 1093889404 | Bradford Bruce Fisher | Dentist | 205 7th Ave So, Nampa, ID 83651 | 2006-11-17 |
| 1770692618 | Robert Alan Pratt | Dentist | 605 W Highland Ave, Nampa, ID 83686-4925 | 2006-08-30 |
| Find all providers in NAMPA | ||||
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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.