Stephen James Jarvie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016143 Issued in MI

Practice address

23595 Novi Rd
Suite 110
Novi, MI 48375-5441

Phone

(248) 449-8000

NPI assigned

May 15, 2007

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

Medicare fee-for-service enrollment

Enrolled in IN

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

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.

• Stephen J Jarvie DDS PC

  • Dental Clinic/Center
  • Novi, MI
  • NPI 1124636733
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1699981795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23595 NOVI RD",
            "address_2": "SUITE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755441",
            "telephone_number": "248-449-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23595 NOVI RD",
            "address_2": "SUITE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755441",
            "telephone_number": "248-449-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIE",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Jarrell
• Lisa Carol Jarrett-Heeren
• Jamie Jarrett
• Lynn Jarrett, LPC
• Shirley Jarrett
• Joshua Jasinski
• Stephen Jaskulski
• Heather Jastram
• Chelsea Jautakis
• Almedina Javor

• General Practice Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.