Organization Active NPI

William E Jarvis DPM P C

  • Podiatrist
  • Roseville, MI
National Provider Identifier
1760787428
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000714 Issued in MI
Legal business name
WILLIAM E JARVIS DPM P C
Practice address
19351 E 13 Mile Rd
Roseville, MI 48066-5308
Phone
(586) 296-3680
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
William E Jarvis, DPM
Title
President
Phone
(586) 296-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901000714 MI Primary

Addresses

Primary practice location

19351 E 13 Mile Rd
Roseville, MI 48066-5308

Mailing address

19351 E 13 Mile Rd
Roseville, MI 48066-5308
Phone (586) 296-3680

National Provider Directory

National Provider Directory

Locations

36325 Harper Ave
Clinton Twp, MI 48035
Phone (586) 790-4110

19351 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 296-3680

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1760787428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19351 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665308",
            "telephone_number": "586-296-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665308",
            "telephone_number": "586-296-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E JARVIS DPM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-296-3680",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.