Active NPI
Aaron A. Jarvis, D.M.D.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1780830240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D07606
- Practice address
- 4717 E Ray Rd
Phoenix, AZ 85044-6230 - Phone
- (480) 755-4455
- Fax
- (480) 893-7535
- NPI assigned
- Aug 14, 2008
- Last updated
- Sep 24, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D07606 | AZ | Primary |
Addresses
Primary practice location
4717 E Ray Rd
Phoenix, AZ 85044-6230
Mailing address
1161 E Main St
Mesa, AZ 85203-8823
Phone (480) 962-6983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901001893 | AZ | Order and Referring Only - Dentist | 1658687934 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7606 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Smiles, LLP | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1780830240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 E MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852038823",
"telephone_number": "480-962-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 E RAY RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446230",
"telephone_number": "480-755-4455",
"fax_number": "480-893-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "AARON",
"middle_name": "A.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D07606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.