Spencer S. Jilek, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5582 Issued in WA

Legal business name

SPENCER S. JILEK, DDS

Practice address

9221 Sandifur Parkway
Suite B
Pasco, WA 99301-9241

Phone

(509) 547-0730

Fax

(509) 547-8860

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Cindy M Christensen

Title

Office Manager

Phone

(509) 547-0730

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer S Jilek, DDS

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1013012293
  NPD (past)
• Joseph Vincent Sullivan, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1104107903
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1053678102",
    "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": "993019241",
            "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": "993019241",
            "telephone_number": "509-547-0730",
            "fax_number": "509-547-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER S. JILEK, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-547-0730"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5582",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60232759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5475502",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Soudah, M.D.
• Monique Marie Soulia
• South Eastern Washington Service Center of the Deaf and Hard of Hearin
• Spanish Lab LLC
• Jacob R Spanjer
• Mark Spencer
• Sarah St Germaine, RN
• Leslie Earl Stahlnecker, RN
• Jason Stalkfleet
• Clarissa Stauffer

• Dentist in Pasco, WA
• Providers in Pasco, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.