Jacob Reed Jarivs, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D3999-OR Issued in ID

Practice address

6000 S Quamash Way
Boise, ID 83716-5617

Phone

(208) 383-0100

Fax

(208) 321-5507

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952504318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S QUAMASH WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837165617",
            "telephone_number": "208-383-0100",
            "fax_number": "208-321-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S QUAMASH WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837165617",
            "telephone_number": "208-383-0100",
            "fax_number": "208-321-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARIVS",
        "first_name": "JACOB",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D3999-OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Janssen, MS RD
• Bridgette Jansson
• Matthew Allen Janzen, PTA
• Brant Jaouen, M.D.
• Javier Jaramillo Morales, M.D.
• Joshua Paul Jarman, MD
• Amy Jaros
• Jordyn Jarrett, NP
• Danielle Marie Jarvis
• Danielle S Jarvis, RPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.