Individual provider Active NPI

Maris Egils Ermansons, D.C.

  • Chiropractor
  • Waxhaw, NC
National Provider Identifier
1851572325
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5849 Issued in NC
Practice address
102 Waxhaw Professional Park Dr Ste D100
Waxhaw, NC 28173-5024
Phone
(818) 612-3003
Fax
(980) 326-2387
NPI assigned
Nov 26, 2007
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5119 SC
Chiropractor 111N00000X 5849 NC Primary

Addresses

Primary practice location

102 Waxhaw Professional Park Dr Ste D100
Waxhaw, NC 28173-5024

Mailing address

8123 Mossy Rock Rd
Waxhaw, NC 28173-0184
Phone (818) 612-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119000238 NC Practitioner - Chiropractic 0244312528 Practice locations: Waxhaw, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Waxhaw Professional Park Dr
Suite D
Waxhaw, NC 28173-5025
Phone (818) 612-3003

8123 Mossy Rock Rd
Waxhaw, NC 28173-0184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5119SCMDChiropractor
24353CAMDPharmacist
5849NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1851572325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 MOSSY ROCK RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730184",
            "telephone_number": "818-612-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WAXHAW PROFESSIONAL PARK DR STE D100",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735024",
            "telephone_number": "818-612-3003",
            "fax_number": "980-326-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMANSONS",
        "first_name": "MARIS",
        "middle_name": "EGILS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5119",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.