NPIMap

Organization Active NPI

Christopher J. Jolles MD, PC

  • Specialist
  • Riverton, UT
National Provider Identifier
1003095506
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHRISTOPHER J. JOLLES MD, PC
Practice address
12391 S 4000 W
Ste 208
Riverton, UT 84096-7015
Phone
(801) 302-5360
Fax
(801) 302-7898
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Christopher Jesse Jolles, MD
Title
President
Phone
(801) 302-5360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary
Gynecologic Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0201X 167833-1205 UT

Addresses

Primary practice location

12391 S 4000 W
Ste 208
Riverton, UT 84096-7015

Mailing address

12391 S 4000 W
Ste 208
Riverton, UT 84096-7015
Phone (801) 302-5360

Other identifiers 2

IdentifierTypeStateIssuer
DG6385OtherUTRAILROAD MEDICARE
6457OtherUTDMBA

Other names 1

  • SPECIAL GYNECOLOGY AND ONCOLOGY Doing business as

National Provider Directory

National Provider Directory

Locations

12391 S 4000 W
Ste 208
Riverton, UT 84096
Phone (801) 302-5360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1003095506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 S 4000 W",
            "address_2": "STE 208",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967015",
            "telephone_number": "801-302-5360",
            "fax_number": "801-302-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12391 S 4000 W",
            "address_2": "STE 208",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967015",
            "telephone_number": "801-302-5360",
            "fax_number": "801-302-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J. JOLLES MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "JOLLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-302-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "167833-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6385",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "6457",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIAL GYNECOLOGY AND ONCOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.