David Orlan Jacobson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8802 Issued in CO

Practice address

2525 N 8TH St
Ste 107
Grand Junction, CO 81501

Phone

(970) 257-7474

Fax

(719) 257-7481

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David Orlan Jacobson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David O. Jacobson DDS, PC

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1346843794
  NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265453013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST",
            "address_2": "STE 107",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-257-7474",
            "fax_number": "719-257-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST",
            "address_2": "STE 107",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-257-7474",
            "fax_number": "719-257-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DAVID",
        "middle_name": "ORLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94536066",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1678469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "JACOBSON",
            "middle_name": "ORLAN",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon S. Jacksi, PH.D,
• Brett Taylor Jackson
• Kiana Nicole Jackson
• Mary Jackson, LCPC, LCAC, LPC
• Whitney Jackson
• Debbie L Jacobson, RN
• Roger E Jacobson, M.D.
• Jacqueline'S Counseling Services LLC
• Sophia Julia Jaeckel, DO
• Fidencio Jaimes Jr.

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• 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.