Active NPI
Denver Family Healthcare,PLLC
- Internal Medicine Physician
- Kings Mountain, NC
National Provider Identifier
1285886424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DENVER FAMILY HEALTHCARE,PLLC
- Practice address
- 108 W Mountain St
Kings Mountain, NC 28086-3413 - Phone
- (704) 739-5550
- Fax
- (800) 317-3563
- NPI assigned
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Virginia B Ervin, MSN, FNP-BC
- Title
- Owner/Family Nurse Practitioner
- Phone
- (704) 739-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
108 W Mountain St
Kings Mountain, NC 28086-3413
Mailing address
108 W Mountain St
Kings Mountain, NC 28086-3413
Phone (704) 739-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2592397A | Other | MEDICARE PTAN |
Other names 1
- Ervin Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1040715 | Denver Family Healthcare | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
108 W Mountain St
Kings Mtn, NC 28086
Phone (704) 739-5550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373241600000",
"number": "1285886424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W MOUNTAIN ST",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863413",
"telephone_number": "704-739-5550",
"fax_number": "800-317-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W MOUNTAIN ST",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863413",
"telephone_number": "704-739-5550",
"fax_number": "800-317-3563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENVER FAMILY HEALTHCARE,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2013-07-08",
"status": "A",
"authorized_official_last_name": "ERVIN",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "704-739-5550",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSN, FNP-BC"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2592397A",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ervin Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.