DR. KEITH ALAN EVANS (NPI# 1992704688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992704688 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALAN EVANS |
| Credential | D.C. |
| Practice Address |
4220 Treadway Rd Beaumont TX 77706-7105 |
| Mailing Address |
9898 Colonnade Blvd #17202 San Antonio TX 78230-2247 |
| Practice Telephone | 4098335600 |
| Practice Fax Number | 4098332111 |
| Mailing Telephone | 4097811668 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2010-06-16 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5213 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8F0631 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750828406 | Keith B Evans | Clinical Nurse Specialist | 12 Lincoln Dr, Shelby, OH 44875-1482 | 2017-01-19 |
| 1942549746 | Keith Evans | Student in an Organized Health Care Education/Training Program | 56 Chestnut Ln, Pine Grove, PA 17963-8741 | 2013-02-14 |
| 1518080977 | Keith E. Evans | Physical Therapist | 3250 Hogan Rd, Sw, Atlanta, GA 30331-2830 | 2007-04-09 |
| 1215009923 | Keith Allen Evans | Dentist | 113 N Regency Dr, Bloomington, IL 61701-3515 | 2006-11-15 |
| 1033179049 | Keith H Evans | General Practice | 1140 W 500 S, Vernal, UT 84078-2914 | 2006-03-24 |
| 1508116971 | Keith L Evans Jr. | Counselor | 62 Village Ln, Berwick, PA 18603-5741 | 2012-09-13 |
| 1982804084 | Keith Evans | Physical Therapy Assistant | 4001 Capitol Mall Dr Sw, Olympia, WA 98502-8657 | 2007-07-18 |
| Street Address |
4220 TREADWAY RD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336386606 | Welch Chiropractic LLC | Chiropractor | 4220 Treadway Rd, Beaumont, TX 77706-7105 | 2009-01-08 |
| 1336209162 | Keith A. Evans, Dc,pc | Chiropractor | 4220 Treadway Rd, Beaumont, TX 77706-7105 | 2006-12-11 |
| 1437159605 | James Earl Welch Jr. | Chiropractor | 4220 Treadway Rd, Beaumont, TX 77706-7105 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734345 | David J Rowell | Chiropractor | 701 Highland Springs Ave Ste 8, Beaumont, CA 92223-2551 | 2015-07-09 |
| 1851734750 | Brittany Marie Guillory | Chiropractor | 7060 Phelan Blvd Suite 101, Beaumont, TX 77706 | 2013-04-10 |
| 1588902886 | Greentree Health | Chiropractor | 87 Ih 10 N Ste 100, Beaumont, TX 77707-2542 | 2013-01-21 |
| 1366763187 | Tiffany April Coronado | Chiropractor | 6356 Phelan Blvd, Beaumont, TX 77706-6150 | 2010-06-16 |
| 1124344387 | Sean Michael Roden | Chiropractor | 2750 Interstate 10 E Ste 200, Beaumont, TX 77703-4979 | 2010-04-13 |
| 1093049850 | N&n Pain & Injury Clinic, Pa | Chiropractor | 7985 Phelan Blvd, Beaumont, TX 77706-5720 | 2009-09-28 |
| 1013155043 | James Joseph Leblanc | Chiropractor | 1595 Cornerstone Ct, Suite A, Beaumont, TX 77706-3899 | 2009-01-29 |
| 1215128889 | Phillip K. Leblanc | Chiropractor | 1595 Cornerstone Ct Ste A, Beaumont, TX 77706-3899 | 2007-08-07 |
| 1740480698 | Dark & Kaibel, D.c.'s | Chiropractor | 851 E. 6th Street, Suite B-1, Beaumont, CA 92223-2217 | 2007-07-19 |
| 1639370117 | Beaumont Chiropractic | Chiropractor | 890 Beaumont Ave, Beaumont, CA 92223-5937 | 2007-05-30 |
| Find all providers in BEAUMONT | ||||
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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.