James J Jervinis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14777 Issued in MA

Practice address

393 Essex St
Salem, MA 01970-3156

Phone

(978) 744-5912

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James J Jervinis,D.M.D.,P.C.

  • General Practice Dentistry
  • Salem, MA
  • NPI 1912082603
  NPD (past) Authorized official
• Salem Dental Group LLC

  • Dentist
  • Salem, MA
  • NPI 1104361948
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1023290483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703156",
            "telephone_number": "978-744-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703156",
            "telephone_number": "978-744-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERVINIS",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Casiglia DMD DMSC PC (Essex STreet Dental Medicine)
• Jennifer Jeffrey
• Carline M Jelsma, BA, MSW PENDING
• Chris C Jensen, PT
• Hans C Jeppesen, M.D.
• Jessi Haggerty LLC (Well & Fed)
• Jewish Family Service of the North Shore, Inc.
• Eduardo Joaquin
• John Bertram House of Swampscott, Inc. (Bertram House of Swampscott)
• John P Fisher DDS PC

• General Practice Dentistry in Salem, MA
• Providers in Salem, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.