Reed K Jarvis DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1526 Issued in ID

Legal business name

REED K JARVIS DDS PA

Doing business as

Jarvis Dental

Practice address

9460 Franklin Rd
Boise, ID 83709

Phone

(208) 322-8200

Fax

(208) 322-7561

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Reed K Jarvis, DDSNPI 1295848190

Title

Owner

Phone

(208) 322-8200

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Reed K Jarvis, D.D.S.

  • General Practice Dentistry
  • Coeur d'Alene, ID
  • NPI 1295848190
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1215039318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090500",
            "telephone_number": "208-322-8200",
            "fax_number": "208-322-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-322-8200",
            "fax_number": "208-322-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED K JARVIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-322-8200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002420900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jarvis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikhil P Reddy, M.D
• Seth Rede, LAT, ATC
• David Redinger, LAT, ATC
• Joshua Matt Redington, PHARMD
• Paul Charles Redmond, HIS
• Allison Reed, PHARMD
• Annmarie Reed, APRN
• Brittany J Reed, MS, LPC
• Christina Reed, MOTR/L
• Cristopher Ryan Reed, PA-C

• General Practice Dentistry in Boise, ID
• Providers in Boise, 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.