Individual provider Active NPI

Karl R Jobst, DDS

  • General Practice Dentistry
  • Grove, OK
National Provider Identifier
1588656011
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5398 Issued in OK
Practice address
119 E 18TH St
Grove, OK 74344-3237
Phone
(918) 787-5800
Fax
(918) 787-5788
NPI assigned
Aug 19, 2005
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5398 OK Primary

Addresses

Primary practice location

119 E 18TH St
Grove, OK 74344-3237

Mailing address

119 E 18TH St
Grove, OK 74344-3237
Phone (918) 787-5800

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

LicenseStateTypeSpecialty
5398OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Karl R. Jobst General Practice CurrentSince Nov 3, 2019 Accepting new patients

Locations

119 E 18th St
Grove, OK 74344
Phone (918) 787-5800

1633 S Main St
Grove, OK 74344

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1588656011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443237",
            "telephone_number": "918-787-5800",
            "fax_number": "918-787-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443237",
            "telephone_number": "918-787-5800",
            "fax_number": "918-787-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBST",
        "first_name": "KARL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.