Active NPI
Reed K Jarvis, D.D.S.
- Dentist
- Coeur d'Alene, ID
National Provider Identifier
1295848190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8184825-9926
- Practice address
- 1090 W Park PL Ste B
Coeur D Alene, ID 83814-2785 - Phone
- (208) 292-0697
- Fax
- (208) 292-0357
- NPI assigned
- Aug 16, 2006
- Last updated
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8184825-9926 | UT | Primary |
| General Practice Dentistry | 1223G0001X | D-1526 | ID |
Addresses
Primary practice location
1090 W Park PL Ste B
Coeur D Alene, ID 83814-2785
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other practice location 1
9460 W Franklin Rd
Boise, ID 83709-0500
Phone (208) 322-8200
Other names 1
- Dr. Reed Jarvis I
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8184825-9926 | UT | MD | Dentist |
| D-1526 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reed K Jarvis DDS PA | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1295848190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1387",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838351387",
"telephone_number": "208-415-0299",
"fax_number": "208-625-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 W PARK PL STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142785",
"telephone_number": "208-292-0697",
"fax_number": "208-292-0357"
}
],
"practiceLocations": [
{
"address_1": "9460 W Franklin Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837090500",
"country_code": "US",
"telephone_number": "208-322-8200",
"fax_number": "208-322-7561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARVIS",
"first_name": "REED",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "8184825-9926",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-1526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REED",
"last_name": "JARVIS",
"prefix": "DR.",
"suffix": "I",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.