David John Jeffries, C.O.

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

4847 Old Redwood Hwy
Santa Rosa, CA 95403-1415

Phone

(707) 528-9808

NPI assigned

Jul 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sierra Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Petaluma, CA
  • NPI 1417578121

  Orthotist

  NPD (past) Authorized official
• Sierra Orthopedic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Santa Rosa, CA
  • NPI 1659366003

  Orthotist

  NPD (past) Authorized official

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1962714865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 20TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533048",
            "telephone_number": "707-349-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 OLD REDWOOD HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031415",
            "telephone_number": "707-528-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffers Dentistry Partnership
• Dwight Jeffers
• Kevin Todd Jeffers, D.D.S.
• Robert P Jeffers, D.D.S.
• Marie Antionette Jefferson
• Jada Jeffries, ASW
• Vanessa Renee Jellison
• Richard Stephen Jenderseck, D.D.S,
• Jennifer Jenkins, MA
• Sarah Faith Jenkins

• Orthotist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.