Active NPI
Dr.Robert E. Jarvis II, a California Professional Dental Corporation
- Oral and Maxillofacial Surgery (Dentist)
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- CA29956
- Legal business name
- DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION
- Practice address
- 2211 4TH St
Santa Rosa, CA 95404-3210 - Phone
- (707) 575-1198
- Fax
- (707) 575-0818
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert E Jarvis II, DDS
- Title
- Owner/Doctor
- Phone
- (707) 575-1198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | CA29956 | CA | Primary |
Addresses
Primary practice location
2211 4TH St
Santa Rosa, CA 95404-3210
Mailing address
2211 4TH St
Santa Rosa, CA 95404-3210
Phone (707) 575-1198
National Provider Directory
National Provider Directory- Tax ID family
- Drrobert E Jarvis II a California Professional Dental Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Windsor, CA
- NPI 1902180334
Locations
2211 4th St
Santa Rosa, CA 95404
Phone (707) 575-1198
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Santa Rosa, CA
- NPI 1275659336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316131200000",
"number": "1922380781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 4TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043210",
"telephone_number": "707-575-1198",
"fax_number": "707-575-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 4TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043210",
"telephone_number": "707-575-1198",
"fax_number": "707-575-0818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A",
"authorized_official_last_name": "JARVIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "707-575-1198",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "CA29956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.