Organization Active NPI

James J Jervinis,D.M.D.,P.C.

  • General Practice Dentistry
  • Salem, MA
National Provider Identifier
1912082603
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14777 Issued in MA
Legal business name
JAMES J JERVINIS,D.M.D.,P.C.
Practice address
393 Essex St
Salem, MA 01970-3156
Phone
(978) 744-5912
Fax
(978) 744-3192
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. James J Jervinis, DMDNPI 1023290483
Title
President
Phone
(978) 744-5912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14777 MA Primary

Addresses

Primary practice location

393 Essex St
Salem, MA 01970-3156

Mailing address

393 Essex St
Salem, MA 01970-3156
Phone (978) 744-5912

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1912082603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703156",
            "telephone_number": "978-744-5912",
            "fax_number": "978-744-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703156",
            "telephone_number": "978-744-5912",
            "fax_number": "978-744-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J JERVINIS,D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "JERVINIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-744-5912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.