Warren F Jesek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19016669 Issued in IL

Practice address

3040 S Mount Zion Rd
Decatur, IL 62521-9771

Phone

(217) 864-4494

Fax

(217) 864-4486

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Jesek & Willhite Family Dental Care Center

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1063454833
  NPD (past) Authorized official
• Dental Professionals of Illinois, P.C.

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1720531759
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235350232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S MOUNT ZION RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625219771",
            "telephone_number": "217-864-4494",
            "fax_number": "217-864-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 S MOUNT ZION RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625219771",
            "telephone_number": "217-864-4494",
            "fax_number": "217-864-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESEK",
        "first_name": "WARREN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19016669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey M Jenkins, DNP, CRNA
• Leonard Ray Jenkins, CRAN
• Jerger Pediatric Dentistry, PC
• Bret M Jerger, DDS
• Jesek & Willhite Family Dental Care Center
• Mary B Jesse
• Sean Michael Jewell, PHARM. D
• Ahmad Abdel Karim Jibawi, M.D.
• William Keith Jihan, LCPC
• JMS Hand Associates SC

• General Practice Dentistry in Decatur, IL
• Providers in Decatur, IL by specialty
• General Practice Dentistry in Illinois

• 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.