MEDICARE: DR. CHRISTINA TIARA ERVIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	01-06435	KS

General Provider Information

NPI Number	:	1982566428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA TIARA ERVIN DC

Provider Business Mailing Address
First Line	:	1146 E 77TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1935
Country	:	US
Telephone Number	:	918-214-9057
Fax Number	:

Provider Business Practice Location Address
First Line	:	9154 W 135TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66221-2044
Country	:	US
Telephone Number	:	913-851-5188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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