William David Jarvis, DDS MS PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5447 Issued in NC

Practice address

105 Zebulon Court
Rocky Mount, NC 27804-2420

Phone

(252) 443-3200

Fax

(252) 443-6669

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

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.

• William D. Jarvis DDS Ms PA

  • Endodontics
  • Rocky Mount, NC
  • NPI 1043416084
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497972830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "252-443-3200",
            "fax_number": "252-443-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "252-443-3200",
            "fax_number": "252-443-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS MS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5447",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Ohm, DMD, P.a.
• Janna Healthcare Services
• Gary Stephen Jared Sr., RPH
• Renaldo Andrew Jarrell, MD
• Bennie L Jarvis, M.D.
• Jason R. Duke, DDS, P.a.
• Mohamed Jellazi, MD
• Allison Jenkins, RD, LDN
• Thomas Edgar Jenkins, CRNA
• Jennifer Tedder, DDS, PA

• Endodontics in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.