Active NPI
Christopher Jesse Jolles, M.D.
- Gynecologic Oncology Physician
- Riverton, UT
National Provider Identifier
1841346756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 167833-1205
- 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
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 |
|---|---|---|---|---|
| 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.