Melissa Jarvis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010372 Issued in AZ

Practice address

13695 N 75TH Ave
Peoria, AZ 85381-6098

Phone

(602) 439-1101

NPI assigned

Aug 26, 2019

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brivadental LLC

  dba AZ Cosmetic & Family Dentistry

  • Clinic/Center
  • Peoria, AZ
  • NPI 1043645765
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1790332575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13695 N 75TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816098",
            "telephone_number": "505-205-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13695 N 75TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816098",
            "telephone_number": "602-439-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "MELISSA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010372",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea January, ND
• Jacqueline M Jarabek, M.P.T
• Victoria Jaramillo, SLPA
• Lana Jarjis, RDH
• Jarullah Investments, Inc (MPower Wellness Center)
• Leonard A Jasinski, MD
• Jason Daniel Johnson, PLLC (PHX Plastic Surgery)
• Zahraa R Jassar
• Brian Jauregui, LAC
• Christina Jauregui, CPNP

• Dentist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.