EVOLVING MEDICAL INTEGRATION SERVICES, LLC
NPI 1811513666
Oral & Maxillofacial Surgery in Frisco, TX

Active since June 17, 2020
5389 MONTEREY DR, FRISCO, TX 75034(214) 475-1523 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evolving Medical Integration Services, Llc NPPES

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

EVOLVING MEDICAL INTEGRATION SERVICES, LLC (NPI 1811513666) is a healthcare organization registered as an oral & maxillofacial surgery in Frisco, Texas and active in the NPI registry since June 2020. The organization lists Chanelle Bevilacqua, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1811513666
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameEVOLVING MEDICAL INTEGRATION SERVICES, LLC
Location Address5389 MONTEREY DRFrisco, TX 75034-4079
Mailing Address5389 Monterey DrFrisco, TX 75034-4079 · (214) 475-1523
Organization SubpartNo
Authorized OfficialChanelle BevilacquaManaging Member · (214) 475-1523
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
NPI 1811513666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedAnesthesiologyTaxonomy 207L00000X
5389 MONTEREY DR, Frisco, TX 75034

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolving Medical Integration Services, LLC's NPI number?

The NPI number for Evolving Medical Integration Services, LLC is 1811513666. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Evolving Medical Integration Services, LLC located?

Evolving Medical Integration Services, LLC is located at 5389 Monterey Dr, Frisco, TX 75034. The listed phone number is (214) 475-1523.

What is Evolving Medical Integration Services, LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Evolving Medical Integration Services, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.