Active NPI
David Ciejek
- Physical Medicine & Rehabilitation Physician
- Midlothian, VA
National Provider Identifier
1972239481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2306604609
- Practice address
- 14265 Midlothian Tpke
Midlothian, VA 23113-6560 - Phone
- (804) 464-2323
- Fax
- (804) 464-2313
- NPI assigned
- Jul 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2306604609 | VA | Primary |
Addresses
Primary practice location
14265 Midlothian Tpke
Midlothian, VA 23113-6560
Mailing address
14265 Midlothian Tpke
Midlothian, VA 23113-6560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306604609 | Other | VA | PTA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306604609 | VA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1972239481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14265 MIDLOTHIAN TPKE",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14265 MIDLOTHIAN TPKE",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136560",
"telephone_number": "804-464-2323",
"fax_number": "804-464-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIEJEK",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2306604609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "2306604609",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.