Individual provider Active NPI

Noah G. Jarvie, D.C.

  • Chiropractor
  • Rogue River, OR
National Provider Identifier
1023098050
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3173 Issued in OR
Practice address
109 W Main St Unit 2
Rogue River, OR 97537-9611
Phone
(541) 582-6508
Fax
(541) 582-6530
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-3173 OR Primary

Addresses

Primary practice location

109 W Main St Unit 2
Rogue River, OR 97537-9611

Mailing address

109 W Main St
Unit 2
Rogue River, OR 97537-9611
Phone (541) 582-6508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000497 OR Practitioner - Chiropractic 0143214049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 W Main St
Suite 2
Rogue River, OR 97537-9611
Phone (541) 582-6508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-3173ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue River Chiropractic PC Chiropractor CurrentSince Jan 1, 2002 Accepting new patients

Locations

510 E Main St
Rogue River, OR 97537
Phone (541) 450-9272

109 W Main St
Unit 2
Rogue River, OR 97537
Phone (541) 582-6508

Organizations & group practices 1

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1023098050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "address_2": "UNIT 2",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379611",
            "telephone_number": "541-582-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST UNIT 2",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379611",
            "telephone_number": "541-582-6508",
            "fax_number": "541-582-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIE",
        "first_name": "NOAH",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogue River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.