Individual provider Active NPI

Andrew Jelinek

  • Dentist
  • Warrenton, VA
National Provider Identifier
1174188320
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401416779 Issued in VA
Practice address
60 Rock Pointe LN
Warrenton, VA 20186-2630
Phone
(540) 270-3922
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 0401416779 VA Primary

Addresses

Primary practice location

60 Rock Pointe LN
Warrenton, VA 20186-2630

Mailing address

7434 Elmores LN
Warrenton, VA 20187-4507
Phone (540) 270-3922

Other practice location 1

700 19th St S
Birmingham, AL 35233-1927
Phone (205) 933-8101 ext. 6306

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

LicenseStateTypeSpecialty
0401416779VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jelinek, PLLC Current Accepting new patients

Locations

60 Rock Pointe Ln
Warrenton, VA 20186
Phone (540) 270-3922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1174188320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 ELMORES LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201874507",
            "telephone_number": "540-270-3922"
        },
        {
            "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": "540-270-3922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331927",
            "country_code": "US",
            "telephone_number": "205-933-8101 x6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JELINEK",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.