James W Jelinek DDS & Susan a Yung DDS P C

Primary specialty

DentistTaxonomy code 122300000X

License

6730 Issued in VA

Legal business name

JAMES W JELINEK DDS & SUSAN A YUNG DDS P C

Practice address

60 Rock Pointe LN
Warrenton, VA 20186-2630

Phone

(540) 349-0033

Fax

(540) 347-5872

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James W Jelinek, DDS

Title

Owner

Phone

(540) 349-0033

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1104970490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROCK POINTE LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862630",
            "telephone_number": "540-349-0033",
            "fax_number": "540-347-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROCK POINTE LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862630",
            "telephone_number": "540-349-0033",
            "fax_number": "540-347-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W JELINEK DDS & SUSAN A YUNG DDS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "JELINEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-349-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "6730",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "6688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER",
            "identifier": "234018",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER",
            "identifier": "234019",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROVIDER",
            "identifier": "817559",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PROVIDER",
            "identifier": "00606001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.