David L. Jolkovsky, D.M.D.,M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

35128 Issued in CA

Practice address

1205 Drake Dr
Ste B
Davis, CA 95616-0856

Phone

(530) 758-1530

Fax

(530) 758-1236

NPI assigned

Jun 15, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922003185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DRAKE DR",
            "address_2": "STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160856",
            "telephone_number": "530-758-1530",
            "fax_number": "530-758-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DRAKE DR",
            "address_2": "STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160856",
            "telephone_number": "530-758-1530",
            "fax_number": "530-758-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLKOVSKY",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "35128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Grover Johnson, RN
• Paul E. Johnson, D.D.S.
• Sandra C Johnson, MD
• Susan Elaine Johnson, LPCC
• Timothy James Johnston, C.P.O.
• Dagon Hurricane Jones, D.D.S.
• Delbert Jones III, M.S.
• Destin Lynn Jones
• Krista Ruiz Jones, CNM
• Sarah Sallee Jones, MD

• Periodontics in Davis, CA
• Providers in Davis, CA by specialty
• Periodontics in California

• 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.