Dr. Jaklin Bezik & Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401410580 Issued in VA

Legal business name

DR. JAKLIN BEZIK & ASSOCIATES

Practice address

11150 Fairfax Bulvard #301
Fairfax, VA 22030

Phone

(703) 934-4474

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jaklin Bezik, DDS, MDSNPI 1356480552

Title

President

Phone

(703) 934-4474

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Jaklin Bezik, D.D.S., M.D.S.,

  • Periodontics
  • Fairfax, VA
  • NPI 1356480552
  NPD (past) Authorized official
• Thiago De Oliveira Matias, DDS

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1225341647
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1780997288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 FAIRFAX BLVARD #301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-934-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 FAIRFAX BULVARD #301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-934-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAKLIN BEZIK & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "BEZIK",
        "authorized_official_first_name": "JAKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-934-4474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401410580",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN1000297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Doyle, M.D./PH.D.
• Dr Bushra Bhatti DMD LLC
• Dr Jaw, PLLC
• Dr Timothy Golian DDS PC
• Dr. Arun K Gupta, PC
• Dr. Megan Chavez Tomlinson PLLC
• Dr. Paul H. Rhyu D.C.,O.M.D,PC
• Dr. Stephen C. St. Louis DDS
• Dr. Zhou'S Clinic, PLLC
• Dr.Padmaja Yalamanchili DDS PC

• Periodontics in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.