DR. EVAN G LONG (NPI# 1992719587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992719587 |
| Entity Type | Individual |
| Full Name | DR. EVAN G LONG |
| Credential | DDS |
| Practice Address |
5641 Poplar Tent Rd Suite 201 Concord NC 28027-7533 |
| Practice Telephone | 7047952300 |
| Practice Fax Number | 7047952301 |
| Mailing Telephone | 7047952300 |
| Mailing Fax Number | 7047952301 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6693 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 799002-T | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634415 | Evan Christopher Long | Social Worker | 5755 N State Road 9, Howe, IN 46746-9228 | 2017-08-07 |
| 1093190035 | Evan Long | Counselor | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2015-07-20 |
| 1740522093 | Evan Gregory Long | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2013-03-25 |
| Street Address |
5641 POPLAR TENT RD SUITE 201 |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602866 | David Tignor | Family Medicine | 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 | 2005-10-06 |
| 1598271843 | Andrew Dehlin | Physician Assistant | 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 | 2017-12-22 |
| 1265882021 | Alexander Moshtaghi | Family Medicine | 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 | 2016-06-13 |
| 1952770182 | Caitlin Shinn | Nurse Practitioner | 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027-7533 | 2015-09-17 |
| 1245633650 | Kerry A. Dove, Dmd Ms, Pllc | Dentist | 5641 Poplar Tent Rd, Concord, NC 28027-7533 | 2014-09-30 |
| 1881029429 | Angela Grace Mercier | Nurse Practitioner | 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027-7533 | 2013-09-12 |
| 1669812806 | Shradha Pant | Family Medicine | 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 | 2013-07-02 |
| 1265770309 | Oscar Ramirez | Physician Assistant | 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 | 2013-01-24 |
| 1386996676 | Carolinas Physicians Network Inc. | Clinic/Center | 5641 Poplar Tent Rd, Suite 204, Concord, NC 28027-7533 | 2012-10-10 |
| 1629320916 | Carolinas Physicians Network, Inc. | Psychiatry & Neurology | 5641 Poplar Tent Rd, Suite 204, Concord, NC 28027-7533 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| 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 |
|---|---|---|---|---|
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1033521455 | Concord Children's Dental Associates | Dentist | 290 Baker Ave Ste S200, Concord, MA 01742-2191 | 2014-05-21 |
| 1841419728 | Donald C. Schmitt, Dds & Rinku S. Saini, Dds Inc. | Dentist | 2879 Willow Pass Rd, Concord, CA 94519-2553 | 2007-04-25 |
| 1245237023 | Richard Carl Rissel | Dentist | 2875 Willow Pass Rd, Concord, CA 94519-2553 | 2005-07-07 |
| 1245633650 | Kerry A. Dove, Dmd Ms, Pllc | Dentist | 5641 Poplar Tent Rd, Concord, NC 28027-7533 | 2014-09-30 |
| 1255749644 | Don Do | Dentist | 1126 Meadow Ln, Concord, CA 94520-3706 | 2014-07-29 |
| 1588818363 | Jason M. Renner Dds Apc | Dentist | 2875 Willow Pass Rd, Concord, CA 94519-2553 | 2008-11-06 |
| 1306002225 | Amy Marie Brandon | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2008-07-30 |
| 1548474711 | Randall R Wiley | Dentist | 2879 Willow Pass Rd, Concord, CA 94519-2553 | 2007-05-09 |
| 1629282801 | Donald C Schmitt | Dentist | 2879 Willow Pass Rd, Concord, CA 94519-2553 | 2007-05-09 |
| Find all providers in CONCORD | ||||
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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.