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Deactivated NPI 1669565115 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Conrad Jarvis , DDS

Dentist - General Practice • Healdsburg, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Jarvis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2006
NPI Deactivation Date January 18, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Jarvis, DDS was a registered Dentist - General Practice practicing in Healdsburg, CA. Throughout an active medical career spanning 17 years, Dr. Jarvis provided care at the practice location at 606 CENTER ST until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

606 Center St

Healdsburg, CA 954483603

Telephone 7074331455
Fax 7074331686

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Healdsburg, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Healdsburg, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 23522

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Michael Brunner , DDS

Dentist - General Practice

NPI 1003947292

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 606 CENTER ST, HEALDSBURG, CA 954483603 (Tel: 7074331455)

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Updated Business Mailing Address July 08, 2007

Registered at 606 CENTER ST, HEALDSBURG, CA 954483603 (Tel: 7074331455)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN JARVIS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #23522 in CA)

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Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669565115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Deactivation Date: January 18, 2023

Mailing Address

606 Center St

Healdsburg, CA 954483603

Phone: 7074331455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.