Individual provider Active NPI

Kayla Marie Jolivet, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reading, PA
National Provider Identifier
1740088871
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS044981 Issued in PA
Practice address
2951 Saint Lawrence Ave
Reading, PA 19606-2256
Phone
(610) 779-6990
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044981 PA
Dentist 122300000X 22DI02963900 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS044981 PA Primary

Addresses

Primary practice location

2951 Saint Lawrence Ave
Reading, PA 19606-2256

Mailing address

2951 Saint Lawrence Ave
Reading, PA 19606-2256
Phone (610) 779-6990

Other practice location 1

100 E Union St
Pottsville, PA 17901-3519
Phone (570) 385-1344

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
22DI02963900NJMDDentist
DS044981PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Mar 11, 2025 Accepting new patients

Locations

2951 Saint Lawrence Ave
Reading, PA 19606
Phone (610) 779-6990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1740088871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SAINT LAWRENCE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062256",
            "telephone_number": "610-779-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 SAINT LAWRENCE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062256",
            "telephone_number": "610-779-6990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Union St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013519",
            "country_code": "US",
            "telephone_number": "570-385-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLIVET",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044981",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02963900",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS044981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.