Advanced Caliber Enterprise LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCED CALIBER ENTERPRISE LLC

Practice address

148 W Main St Ste F
Glenpool, OK 74033-3952

Phone

(918) 938-0533

Fax

(918) 938-0547

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Jamie JarvisNPI 1689414187

Title

Owner

Phone

(918) 208-4907

Specialties & licenses 1

Addresses

Other names 1

• Jarvis Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie D Jarvis, APRN

  • Family Nurse Practitioner
  • Glenpool, OK
  • NPI 1689414187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1750126074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W MAIN ST STE F",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333952",
            "telephone_number": "918-938-0533",
            "fax_number": "918-938-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W MAIN ST STE F",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333952",
            "telephone_number": "918-938-0533",
            "fax_number": "918-938-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CALIBER ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-208-4907"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jarvis Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 918 Dentist of Glenpool, PLLC
• Jennifer Aaron, PTA
• Andrea Michele Adams, D.O.
• Air Inspired Home Medical Equipment
• Ashley Al-Bezergan, PHARMD
• Patricia Jean Alexander
• Align Sport and Spine
• Aaron Allen

• Primary Care Clinic/Center in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.

Verify at the official NPI Registry.