Ronald Clifton Jarvis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2295 Issued in MT

Practice address

85 Village Loop Rd
Kalispell, MT 59901-2859

Phone

(406) 257-5696

Fax

(406) 257-5693

NPI assigned

Jul 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1932363165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 VILLAGE LOOP RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012859",
            "telephone_number": "406-257-5696",
            "fax_number": "406-257-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 VILLAGE LOOP RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012859",
            "telephone_number": "406-257-5696",
            "fax_number": "406-257-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "RONALD",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Jakober, MT
• James a Jerman DDS PLLC
• James S. Bonnet M.D., P.C.
• Ryan Jameson, DPM
• Jennifer J Jamrog, D.O.
• Jason Mills, PLLC
• Matthew David Jenkins, DPM
• Kelly J Jensen, LD
• Randal H Jensen, RPH
• James Jerman, DDS

• General Practice Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.