Maylani Evangelista
NPI 1679612204 · Orthodontics and Dentofacial Orthopedics Dentistry · Kenosha, WI
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maylani Evangelista is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Kenosha, WI (NPI 1679612204).
Provider details
- NPI number
- 1679612204
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5469 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Maylani Evangelista's NPI number?
- Maylani Evangelista's National Provider Identifier (NPI) is 1679612204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maylani Evangelista's specialty?
- Maylani Evangelista is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Maylani Evangelista located?
- Maylani Evangelista's practice location on file with NPPES is 3410 80th St, Kenosha, WI 53142-4975.
- What is Maylani Evangelista's phone number?
- The practice phone number listed in the NPPES registry for Maylani Evangelista is (262) 697-0825.
- Does Maylani Evangelista accept Medicare?
- Maylani Evangelista is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maylani Evangelista's NPI active?
- Yes — Maylani Evangelista's NPI (1679612204) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.