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

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

VA7079 Issued in VA

Practice address

8505 Arlington Blvd
Ste. 260
Fairfax, VA 22031-4621

Phone

(703) 560-8700

Fax

(703) 560-1745

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 15, 2016 through Sep 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• H. Charles Jelinek Jr. D.D.S.

  • Customized Equipment (DME)
  • Fairfax, VA
  • NPI 1821443672
  NPD
• H. Charles Jelinek Jr. DDS

  • Customized Equipment (DME)
  • Fairfax, VA
  • NPI 1851862940
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1962627554",
    "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": "220314621",
            "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": "220314621",
            "telephone_number": "703-560-8700",
            "fax_number": "703-560-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELINEK",
        "first_name": "H",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA7079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7394890001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIGINIA LICENSE",
            "identifier": "VA7079",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Javier, D.M.D
• Jay C Tyroler M.D.,P.C.
• JD Enterprise Resources LLC
• Miranda Jeanmard, MS, CCC-SLP
• Kara Lynn Jefferies, M.D.
• Danijela Jelovac, MD
• Jengo Healthcare Services LLC
• Courtney Jenkins, LCSW
• Ellen M Jenkins, MD
• Emily Rose Jenkins, RDN

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.