NPIMap

Organization Active NPI

Daniel H Ervin DO PC

  • Otolaryngology Physician
  • Westminster, MA
National Provider Identifier
1780794131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DANIEL H ERVIN DO PC
Practice address
22 South St
Westminster, MA 01473-1535
Phone
(978) 874-7368
Fax
(978) 874-6111
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel H Ervin, DONPI 1376532275
Title
President
Phone
(978) 874-7368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

22 South St
Westminster, MA 01473-1535

Mailing address

22 South St
Westminster, MA 01473-1535
Phone (978) 874-7368

Other identifiers 1

IdentifierTypeStateIssuer
9712917MedicaidMA

Other names 1

  • South St Chapel ENT Other name

National Provider Directory

National Provider Directory

Locations

22 South St
Westminster, MA 01473
Phone (978) 874-6427

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780794131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SOUTH ST",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731535",
            "telephone_number": "978-874-7368",
            "fax_number": "978-874-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SOUTH ST",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731535",
            "telephone_number": "978-874-7368",
            "fax_number": "978-874-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H ERVIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-874-7368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712917",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South St Chapel ENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.