DR. JAKLIN BEZIK & ASSOCIATES
DR. JAKLIN BEZIK & ASSOCIATES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1780997288, based in Fairfax, VA. It is classified under Periodontics.
Getting there
The practice address on file is 11150 FAIRFAX BULVARD #301, Fairfax, VA 22030. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0401410580 | VA | Periodontics primary |
| DEN1000297 | DC | Periodontics |
Licences are recorded in 2 states: VA, DC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Dme Supplier - Oral Surgery - Dentist
- PAC ID
- 0749709079
- Enrollment ID
- O20250529001831
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Oral Surgery - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: District of Columbia and Virginia. The practice address on file is in Fairfax, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Periodontics covers
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NUCC Health Care Provider Taxonomy, code 1223P0300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0300X | Periodontics Periodontics | 0401410580 | VA | primary |
| 1223P0300X | Periodontics Periodontics | DEN1000297 | DC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1780997288 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 26, 2010 |
| Last updated | Jul 26, 2010 |
| Status | Active |
| Practice address |
11150 FAIRFAX BULVARD #301 Fairfax, VA 22030 (703) 934-4474 |
| Mailing address |
11150 FAIRFAX BLVARD #301 Fairfax, VA 22030 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 8 | 0 | 9 | 9 | 7 | 2 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 7 | 0 | 9 | 9 | 5 | 2 | 7 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.