Active NPI
Edward Earl Jarvis, D.C.
- Chiropractor
- Pacific Grove, CA
National Provider Identifier
1659446508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC10528
- Practice address
- 572 Gibson Ave
Pacific Grove, CA 93950-4331 - Phone
- (831) 375-9582
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC10528 | CA | Primary |
Addresses
Primary practice location
572 Gibson Ave
Pacific Grove, CA 93950-4331
Mailing address
231 Walcott Way
Pacific Grove, CA 93950-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000317 | CA | Practitioner - Chiropractic | 6608036736 | Practice locations: Pacific Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1969
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
572 Gibson Ave
Pacific Grove, CA 93950-4331
Phone (831) 375-9582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC10528 | CA | MD | Chiropractor |
| 10528 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659446508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 WALCOTT WAY",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 GIBSON AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939504331",
"telephone_number": "831-375-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "EDWARD",
"middle_name": "EARL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC10528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Grove, CA
- Kazumi Ikeda
- In Stride Physical Therapy & Rehab, Inc.
- J. Gary Grant, MD, Inc.
- Jamie Klinefelter, DMD, Inc.
- Janessa Radford, Licensed Clinical Social Worker, Inc.
- Ann Todd Jealous, L.M.F.T.
- Jessica Byrd-Olmstead, PH.D., Inc.
- John H. Coleman Chiropractic, Inc. (ColemanFamily Chiropractic)
- Darek Jones, RPH
- Patrick J Jones, LPA, LCMHC, LCAS
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.