DR. JOHN WILLIAM EVENSON DDS
NPI 1902806094
Dentist - General Practice in Houston, MN

Active since July 29, 2005PECOS Enrolled
109 E MAPLE ST, HOUSTON, MN 55943(507) 896-2202(507) 896-3363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John William Evenson Dds NPPES

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

DR. JOHN WILLIAM EVENSON DDS (NPI 1902806094) is an individual general practice provider in Houston, Minnesota, licensed in Minnesota (11269) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902806094
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN WILLIAM EVENSONCredential: DDS
Location Address109 E MAPLE STHouston, MN 55943-8449
Mailing AddressPo Box 821Houston, MN 55943-0821 · (507) 896-3976
Fax(507) 896-3363
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1902806094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 11269
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.

109 E MAPLE ST, Houston, MN 55943

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John William Evenson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55943 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 4

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

Dentist (General Practice)
109 E MAPLE ST
HOUSTON, MN 55943
Clinic/Center (Dental)
109 E MAPLE ST
HOUSTON, MN 55943
Dentist (General Practice)
109 E MAPLE ST
HOUSTON, MN 55943
Dentist
109 E MAPLE ST, BOX 275
HOUSTON, MN 55943

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 John Evenson's NPI number?

The NPI number for John Evenson is 1902806094. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is John Evenson located?

John Evenson practices at 109 E Maple St, Houston, MN 55943. The listed phone number is (507) 896-2202.

What is John Evenson's specialty?

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

Is John Evenson enrolled in Medicare?

Yes. John Evenson is registered in the Medicare PECOS enrollment system.

What insurance does John Evenson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list John Evenson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Evenson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.