DE ANDRE EVANS
NPI 1063372365
Dentist - General Practice in Newport, KY

Q: What is De Andre Evans's NPI number?

The NPI number for De Andre Evans is 1063372365. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Q: What is De Andre Evans's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for De Andre Evans was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2025PECOS Enrolled

215 E 11TH ST, NEWPORT, KY 41071(859) 655-6100(859) 655-6186 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About De Andre Evans NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE ANDRE EVANS (NPI 1063372365) is an individual general practice provider in Newport, Kentucky, licensed in Kentucky (D-00097) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (2025).

NPPES Registry Identity

NPI1063372365

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDE ANDRE EVANS

Location Address215 E 11TH STNewport, KY 41071-2203

Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100 · Fax (859) 655-6186

Phone(859) 655-6100

Fax(859) 655-6186

Sole ProprietorNo

Medical School CMSOhio State University College Of DentistryGraduated 2025

Enumeration DateNovember 18, 2025

NPPES CertifiedNovember 18, 2025

✔ NPI 1063372365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · D-00097

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

215 E 11TH ST, Newport, KY 41071

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De Andre Evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830685247

PECOS Enrollment IDI20260106000305

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JINHUI LI DDS, PHD

Dentist (General Practice)