Larry Evans, DDS

ActiveIndividual ProviderDentistry
NPI issued: October 13, 2005

Quick Facts

NPI Number
1104815042
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223X0400X — Dentistry
Phone
(210) 292-8627
StateTX

NPI Validation Status: Verified

Valid 10-digit NPI number (1104815042)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 13, 2005)
Data source: CMS NPPES

Provider Overview

LARRY EVANS, DDS is a Dentistry provider based in Jbsa Lackland, TX who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104815042
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateOctober 13, 2005

Practice Location

CityJbsa Lackland
StateTX
ZIP Code78236
Phone(210) 292-8627

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223X0400X
License StateTX

Mailing Address

CityJbsa Lackland
StateTX
ZIP Code78236
Phone(210) 292-8627
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104815042 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104815042for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104815042 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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20,158
Dentistry Providers in the US

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People Also Ask

What is Larry Evans's NPI number?
Larry Evans's NPI number is 1104815042, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Larry Evans's NPI currently active?
Yes, Larry Evans's NPI status is Active as of the latest CMS NPPES database updates.
What does Larry Evans specialize in?
Larry Evans specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223X0400X.
Where does Larry Evans practice?
Larry Evans practices in Jbsa Lackland, TX 78236.
When was Larry Evans's NPI issued?
Larry Evans's NPI was issued on October 13, 2005.
What is Larry Evans's provider type?
Larry Evans is registered as an Individual Provider under CMS NPI Type 1.