H. Charles Jelinek Jr. D.D.S.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0401007079 Issued in VA

Legal business name

H. CHARLES JELINEK JR. D.D.S.

Practice address

8505 Arlington Blvd.
Ste. 260
Fairfax, VA 22031

Phone

(703) 560-8700

Fax

(703) 560-1745

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Allison Platt

Title

Office Administrator

Phone

(703) 560-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• H Charles Jelinek Jr., D.D.S.

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1962627554
  NPD

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1821443672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD.",
            "address_2": "STE. 260",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-560-8700",
            "fax_number": "703-560-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD.",
            "address_2": "STE. 260",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-560-8700",
            "fax_number": "703-560-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. CHARLES JELINEK JR. D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-560-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "0401007079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "7394890001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Konstantin Sergeyevich Gutnichenko
• Ela Guzman-Hoelzer, PT, DPT, C/NDT
• Francis Adu Gyamfi, PAC
• Laura Gyawali, SPEECH PATHOLOGIST
• Rumee Gyawali
• H. Charles Jelinek Jr. DDS
• H3 Nutrition, LLC
• Nam Nhat Ha, MD
• Quy Ngoc Ha, PHARMD
• Rose Juyoung Ha, D.D.S.

• Customized Equipment (DME) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.