Active NPI
Amber Jarvis, RDH
- Dental Hygienist
- Flagstaff, AZ
National Provider Identifier
1780254904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H06682
- Practice address
- 2920 N 4TH St
Flagstaff, AZ 86004-1816 - Phone
- (928) 522-9400
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H06682 | AZ | Primary |
Addresses
Primary practice location
2920 N 4TH St
Flagstaff, AZ 86004-1816
Mailing address
4505 S Lance Rd
Flagstaff, AZ 86005-9370
Phone (928) 699-3580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H06682 | Other | AZ | ARIZONA BOARD OF DENTAL EXAMINERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| H06682 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1780254904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 S LANCE RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860059370",
"telephone_number": "928-699-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 N 4TH ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041816",
"telephone_number": "928-522-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "AMBER",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H06682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF DENTAL EXAMINERS",
"identifier": "H06682",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.