DR. JILL ELIZABETH POULOS D.D.S.
NPI 1043429608
Dentist - General Practice in Cambria, CA

Q: What is Jill Poulos's NPI number?

The NPI number for Jill Poulos is 1043429608. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Jill Poulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jill Poulos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2007PECOS Enrolled

4235 BRIDGE ST, CAMBRIA, CA 93428(805) 927-5797 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jill Elizabeth Poulos D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL ELIZABETH POULOS D.D.S. (NPI 1043429608) is an individual general practice provider in Cambria, California, licensed in California (32667) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043429608

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JILL ELIZABETH POULOSCredential: D.D.S.

Location Address4235 BRIDGE STCambria, CA 93428-2101

Mailing Address4235 Bridge StCambria, CA 93428-2101 · (805) 927-5797

Phone(805) 927-5797

Sole ProprietorYes

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043429608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 32667

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4235 BRIDGE ST, Cambria, CA 93428

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jill Elizabeth Poulos D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RATCHFORD DENTAL PRACTICE OF CAMBRIA, INC

Dentist (General Practice)

4235 BRIDGE ST
CAMBRIA, CA 93428

San Luis Obispo County (805) 927-5797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Poulos's NPI number?

The NPI number for Jill Poulos is 1043429608. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Jill Poulos located?

Jill Poulos practices at 4235 Bridge St, Cambria, CA 93428. The listed phone number is (805) 927-5797.

What is Jill Poulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jill Poulos enrolled in Medicare?

Yes. Jill Poulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Poulos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.