DR. KENT T. JARVIS (NPI# 1023467867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023467867 |
| Entity Type | Individual |
| Full Name | DR. KENT T. JARVIS |
| Credential | D.P.M |
| Practice Address |
17215 Red Oak Dr Ste 102 Houston TX 77090-2611 |
| Practice Telephone | 2814444114 |
| Practice Fax Number | 2814447789 |
| Mailing Telephone | 2814444114 |
| Mailing Fax Number | 2814447789 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2377 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2377 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
17215 RED OAK DR STE 102 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033473731 | Lauren Diane Reed | Podiatrist | 17215 Red Oak Dr Ste 102, Houston, TX 77090 | 2012-06-27 |
| 1003164146 | Bailey Mcgee Griffin | Podiatrist | 17215 Red Oak Dr Ste 102, Houston, TX 77090-2611 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
| 1487016655 | Abdul-latif Nurudeen | Podiatrist | 9800 Centre Pkwy Ste 550, Houston, TX 77036-8262 | 2016-03-25 |
| 1861832818 | Karl D Johnson | Podiatrist | 8181 Fannin St Apt 2517, Houston, TX 77054-2991 | 2013-07-04 |
| 1255688255 | Manish K Patel | Podiatrist | 12121 Richmond Ave Ste 415, Houston, TX 77082-2439 | 2012-08-08 |
| 1023365244 | Hadley Mcarthur | Podiatrist | 12121 Richmond Ave Ste 417, Houston, TX 77082-2439 | 2012-08-07 |
| 1063768729 | Bright Chen | Podiatrist | 9889 Bellaire Blvd Ste 219a, Houston, TX 77036-3591 | 2012-07-31 |
| 1427297217 | Natalie R Diers | Podiatrist | 603 Wycliffe Dr # B, Houston, TX 77079-3507 | 2009-02-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.