Organization Active NPI

Denver Family Healthcare,PLLC

  • Internal Medicine Physician
  • Kings Mountain, NC
National Provider Identifier
1285886424
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 8, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2592397AOtherMEDICARE PTAN

Other names 1

  • Ervin Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1040715Denver Family Healthcare108 W Mountain St, Kings Mountain, NC 28086Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.