Individual provider Active NPI

Christine A Jarmoc, DMD

  • Dentist
  • Danvers, MA
National Provider Identifier
1649470063
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03604 Issued in NH
Practice address
37 Maple St
Danvers, MA 01923-2851
Phone
(978) 750-9999
NPI assigned
Jul 24, 2007
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 03604 NH Primary

Addresses

Primary practice location

37 Maple St
Danvers, MA 01923-2851

Mailing address

37 Maple St
Danvers, MA 01923-2851
Phone (978) 750-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20161212002264 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1052691979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03604NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Star Dental Group Dentist 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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1649470063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232851",
            "telephone_number": "978-750-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232851",
            "telephone_number": "978-750-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMOC",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.