Active NPI
Earl Joseph Epps Jr., ND
- Specialist
- Charlotte, NC
National Provider Identifier
1154490100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24063
- Practice address
- 700 S Torrence St
Suite 210
Charlotte, NC 28204-2928 - Phone
- (704) 377-6737
- Fax
- (704) 377-7107
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24063 | NC | Primary |
Addresses
Primary practice location
700 S Torrence St
Suite 210
Charlotte, NC 28204-2928
Mailing address
700 S Torrence St
Suite 210
Charlotte, NC 28204-2928
Phone (704) 377-6737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930704 | Medicaid | NC | |
| 30704 | Other | NC | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1154490100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S TORRENCE ST",
"address_2": "SUITE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042928",
"telephone_number": "704-377-6737",
"fax_number": "704-377-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S TORRENCE ST",
"address_2": "SUITE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042928",
"telephone_number": "704-377-6737",
"fax_number": "704-377-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPS",
"first_name": "EARL",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "24063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930704",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "30704",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.