Reed K Jarvis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-1526 Issued in ID

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

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Reed Jarvis I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Reed K Jarvis DDS PA

  • General Practice Dentistry
  • Boise, ID
  • NPI 1215039318
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "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": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002420900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE DENTAL LICENSE",
            "identifier": "1526",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REED",
            "last_name": "JARVIS",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Marie Jahns, CSFA
• James J Lee DDS PC
• James P Osmanski II DO
• Cynthia Ann James, COTA
• Katie Dawn Jarstad, PA-C
• Janelle K Jaszczak, MS, PT
• Carmen Jeffrey, LMSW
• David Donald Vernon Jenkins
• Joy'L Jenkins, LCSW
• Shelton Hunter Jenkins

• General Practice Dentistry in Coeur D Alene, ID
• Providers in Coeur D Alene, 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 Oct 30, 2025; 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.