Jeff Dekoski, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1200 S Jay St
Aberdeen, SD 57401-7155

Phone

(605) 626-7733

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2008.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1205970456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N 2ND ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011918",
            "telephone_number": "605-290-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S JAY ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017155",
            "telephone_number": "605-626-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKOSKI",
        "first_name": "JEFF",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.