David Michael Jaconski, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000365 Issued in VA

Practice address

500 Hioaks Rd
Richmond, VA 23225

Phone

(804) 560-6518

NPI assigned

Apr 19, 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

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306063300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 PALMORE RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "23139",
            "telephone_number": "804-403-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-560-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACONSKI",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Allen Jacobsen, MSW
• Holly Jacobsen, PTA
• Kelly Aswad Jacobson, SLP
• Natalie Jacobson, PA-C
• Kristin Dahl Jacoby, MS PT
• Jacqueline Johnson Curl DDS PC
• Jacqueline Theis, OD, PLLC (Virginia Neuro-Optometry)
• Jennifer Beth Bailey Jadallah, PHARM.D.
• Aniket Bhaskar Jadhav, DDS, MDS.
• Nima Jadidi, M.D.

• Athletic Trainer in Richmond, VA
• Providers in Richmond, VA by specialty
• Athletic Trainer in Virginia

• 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.