Individual provider
DUSTIN RAY EVERETT, M.D.
CMS NPPES lists DUSTIN RAY EVERETT as an individual provider record with NPI 1215221940. The current record reports a primary practice location in ANTHEM, AZ and primary taxonomy code 208M00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location3655 W ANTHEM WAYSUITE A109 PMB 313ANTHEM, AZ 850860430
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207R00000XAdditional reported taxonomy208M00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- May 28, 2011
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.