Organization Active NPI

Stephen J Jarvie DDS PC

  • Dental Clinic/Center
  • Novi, MI
National Provider Identifier
1124636733
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEPHEN J JARVIE DDS PC
Practice address
23595 Novi Rd Ste 110
Novi, MI 48375-5441
Phone
(248) 449-8000
Fax
(248) 449-8480
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Dr. Stephen James Jarvie, DDSNPI 1699981795
Title
President
Phone
(248) 449-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

23595 Novi Rd Ste 110
Novi, MI 48375-5441

Mailing address

23595 Novi Rd Ste 110
Novi, MI 48375-5441
Phone (248) 449-8000

Other names 1

  • East Brooke Dental Doing business as

National Provider Directory

National Provider Directory

Locations

23595 Novi Rd
Ste 110
Novi, MI 48375
Phone (248) 449-8000

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1124636733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23595 NOVI RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755441",
            "telephone_number": "248-449-8000",
            "fax_number": "248-449-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23595 NOVI RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755441",
            "telephone_number": "248-449-8000",
            "fax_number": "248-449-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J JARVIE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-449-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Brooke Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.