Stefanie Suzane Ervin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4377 Issued in NC

Practice address

8040 Providence Rd Ste 500
Charlotte, NC 28277-9762

Phone

(541) 817-5831

NPI assigned

Jan 27, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Dr. Stefanie Suzane Fuess Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1124359310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 KINGS BOTTOM DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297155604",
            "telephone_number": "541-817-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 PROVIDENCE RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779762",
            "telephone_number": "541-817-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "STEFANIE",
        "middle_name": "SUZANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3987",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3822",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "FUESS",
            "middle_name": "SUZANE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ervin House
• Ervin S. Batchelor, PA
• Deangela Michelle Ervin
• Margaret Ervin, RPH
• Shannon Ruth Ervin, PA-C
• Jessica Erwin
• Mack Erwin, PA-C
• Andrea Escate Saavedra
• Tara Eschenbach, MSW, LCSWA
• Daniel Alejandro Escobar, MD

• All providers in Charlotte, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.