Individual provider Active NPI

Julianna Ervin, DDS

  • Dentist
  • Overland Park, KS
National Provider Identifier
1619455870
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7118 Issued in OK
Practice address
7000 W 121St St Ste 200
Overland Park, KS 66209-2010
Phone
(913) 344-9990
Fax
(913) 344-9991
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7118 OK Primary

Addresses

Primary practice location

7000 W 121St St Ste 200
Overland Park, KS 66209-2010

Mailing address

7000 W 121St St Ste 200
Overland Park, KS 66209-2010
Phone (816) 863-5413

Other practice location 1

921 NE 13th street
Oklahoma City, OK 73104
Phone (405) 456-5039

Other practice location 2

9017 N University Ave Apt 16208
Oklahoma City, OK 73114-4316
Phone (816) 863-5413

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7118OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Julianna Ervin DDS CurrentSince Oct 13, 2024 Accepting new patients
Morningstar Family Dental,P.a. PastSince Oct 13, 2024 Accepting new patients

Locations

7000 W 121st St
Ste 200
Overland Park, KS 66209
Phone (913) 344-9990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1619455870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 121ST ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092010",
            "telephone_number": "816-863-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 121ST ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092010",
            "telephone_number": "913-344-9990",
            "fax_number": "913-344-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 NE 13th street",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73104",
            "country_code": "US",
            "telephone_number": "405-456-5039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9017 N University Ave Apt 16208",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731144316",
            "country_code": "US",
            "telephone_number": "816-863-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "JULIANNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.