Kenneth Jarvis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0108 Issued in NV

Practice address

1200 S 4TH St Ste 111
Las Vegas, NV 89104-1046

Phone

(702) 810-1748

Fax

(702) 837-8292

NPI assigned

May 27, 2005

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

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Mobile Podiatry Management Inc

  dba Kenneth M. Jarvis DPM

  • Primary Podiatric Medicine Podiatrist
  • Las Vegas, NV
  • NPI 1588011258
  Medicare reassignment Authorized official
• Integrative Family Medicine

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1598820185
  NPD (past)
• Dr Evelyn M Cloud P.a.

  • Podiatrist
  • Jacksonville, FL
  • NPI 1841476959
  NPD (past)
• Dr Mark Isenberg PA

  • Podiatrist
  • Pensacola, FL
  • NPI 1255365177
  NPD (past)
• J & G Florida Enterprises

  dba Sutton Homes

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1023461472
  NPD (past)
• Mghmi

  • Foot & Ankle Surgery Podiatrist
  • Pensacola, FL
  • NPI 1629522008
  NPD (past)
• Mobile Health Inc.

  • Podiatrist
  • St Petersburg, FL
  • NPI 1801841887
  NPD (past)
• Northern Kentucky Family Foot Care Inc

  • Podiatrist
  • Alexandria, KY
  • NPI 1235132861
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497758197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 OASIS VALLEY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890852335",
            "telephone_number": "702-810-1748",
            "fax_number": "702-837-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 4TH ST STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041046",
            "telephone_number": "702-810-1748",
            "fax_number": "702-837-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 W Cheyenne Ave",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297445",
            "country_code": "US",
            "telephone_number": "702-228-5018",
            "fax_number": "702-642-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00138284",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501920",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Jarvis, CAREGIVER
• Eric Jarvis
• Hayli Marie Jarvis
• Jazmine Jarvis
• Jillian Jarvis, BCBS, LBA
• Robyn L. Jarvis, LPTA
• Sierra Ann Ramirez Jarvis, PHD
• Samantha Joy Jasa
• Camilya Reshuntae Jasames
• Donte Ray Jasames

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.