Individual provider Active NPI

Christopher Jesse Jolles, M.D.

  • Gynecologic Oncology Physician
  • Riverton, UT
National Provider Identifier
1841346756
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
167833-1205 Issued in UT
Practice address
12391 S 4000 W
Ste 208
Riverton, UT 84096-7015
Phone
(801) 302-5360
Fax
(801) 302-7898
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 167833-1205 UT Primary

Addresses

Primary practice location

12391 S 4000 W
Ste 208
Riverton, UT 84096-7015

Mailing address

12391 S 4000 W
Ste 208
Riverton, UT 84096-7015
Phone (801) 302-5360

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1841346756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 S 4000 W",
            "address_2": "STE 208",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967015",
            "telephone_number": "801-302-5360",
            "fax_number": "801-302-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12391 S 4000 W",
            "address_2": "STE 208",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967015",
            "telephone_number": "801-302-5360",
            "fax_number": "801-302-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLES",
        "first_name": "CHRISTOPHER",
        "middle_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "167833-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.