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Deactivated NPI 1992704688 Deactivated / Inactive NPI Male Practitioner

Dr. Keith Alan Evans , DC

Chiropractor • Beaumont, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Evans, DC was a registered Chiropractor practicing in Beaumont, TX. Throughout an active medical career spanning 1 years, Dr. Evans provided care at the practice location at 4220 TREADWAY RD until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

4220 Treadway Rd

Beaumont, TX 777067105

Telephone 4098335600
Fax 4098332111
Associated Practice Facility / Clinic
🏢 Keith A. Evans, Dc,pc Facility NPI 1336209162

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Beaumont, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 5213

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
8F0631 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1437159605

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location June 16, 2010

Registered at 4220 TREADWAY RD, BEAUMONT, TX 777067105 (Tel: 4098335600)

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Updated Business Mailing Address June 16, 2010

Registered at 9898 COLONNADE BLVD, #17202, SAN ANTONIO, TX 782302247 (Tel: 4097811668)

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Provider Name / Credentials Updated June 16, 2010

Recorded as KEITH EVANS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2010

Chiropractor (License #5213 in TX)

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NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration July 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992704688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2005
Last Update: June 16, 2010
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

9898 Colonnade Blvd, #17202

San Antonio, TX 782302247

Phone: 4097811668

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.