Spencer S Jilek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5587 Issued in WA

Practice address

9221 Sandifur Parkway
Suite B
Pasco, WA 99301

Phone

(509) 547-0730

Fax

(509) 547-8860

NPI assigned

Sep 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Reggie Orozco DDS PLLC

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1093428195
  NPD (past)
• Spencer S. Jilek, DDS

  • Dentist
  • Pasco, WA
  • NPI 1053678102
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013012293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SANDIFUR PARKWAY",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-547-0730",
            "fax_number": "509-547-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SANDIFUR PARKWAY",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-547-0730",
            "fax_number": "509-547-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILEK",
        "first_name": "SPENCER",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5075502",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Onvia Jacobson, LMP
• Debra Lynne James, AMOT, OTR/L
• JD & SN Inc
• Joseph Jenks, LAMFT
• Austin Robert Jennings, LMT
• Cleanne Johnson, RD,CD
• Dawn Johnson, PHARMD
• David William Jones, MD
• Kelli M Jones
• Tammy Jones, MSW CDP

• General Practice Dentistry in Pasco, WA
• Providers in Pasco, WA by specialty
• General Practice Dentistry in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.