David O. Jacobson DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID O. JACOBSON DDS, PC

Doing business as

Jacobson Family Dental

Practice address

2525 N 8TH St Ste 107
Grand Junction, CO 81501-8808

Phone

(970) 257-7474

Fax

(970) 257-7474

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David O Jacobson, DDSNPI 1265453013

Title

Owner

Phone

(970) 257-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacobson Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Orlan Jacobson, DDS

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1265453013
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1346843794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST STE 107",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018808",
            "telephone_number": "970-257-7474",
            "fax_number": "970-257-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N 8TH ST STE 107",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018808",
            "telephone_number": "970-257-7474",
            "fax_number": "970-257-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID O. JACOBSON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-257-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94536066",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacobson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherri Lane Davenport, M.S. CCC-SLP
• Mary Rae Davenport, ANP
• Roxanne Davenport, LPC
• David M Cale OD PC (Bookcliff Vision Center)
• David O. Jacobson DDS PC
• David P Kirch, MD,PLLC
• David Patz Sleep MD PLLC
• David Samuel Patz (Western Colorado Sleep Institute)
• David W. Terry (Wingate Family Medicine)
• Dallin Davies

• 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 Nov 18, 2020; 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.