Paramount Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3995 Issued in ID

Legal business name

PARAMOUNT DENTAL PA

Doing business as

Jarvis Dental

Practice address

1508 W Cayuse Creek Dr
Ste 150
Meridian, ID 83646

Phone

(208) 888-0900

Fax

(208) 888-0950

NPI assigned

Jul 17, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Colleen M Crowley Jarvis, DDSNPI 1548431836

Title

Dentist

Phone

(208) 888-0900

Specialties & licenses 1

Addresses

Other names 1

• Jarvis Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colleen M Crowley Jarvis, DDS

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1548431836
  NPD (past) Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1093914210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W CAYUSE CREEK DR",
            "address_2": "STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-888-0900",
            "fax_number": "208-888-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W CAYUSE CREEK DR",
            "address_2": "STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-888-0900",
            "fax_number": "208-888-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CROWLEY JARVIS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-888-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jarvis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Reuben Palnikov, PHARMD
• Melissa Marie Pannell, RN FNP-BC
• Kirk Emil Paolinelli Jr., FNP
• Michael Pappas
• Paragond LLC
• Ashley Parker, DDS
• Caitlin A Parker, M.A., LCPC
• Michael Andres Parker, FNP
• Eliana Parks, DPT
• Kimberly Lynn Parks, PH.D.

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.