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DR. JILL ELIZABETH SELF-PIKE D.M.D
NPI 1073632220
Dentist - General Practice in Rogers, AR

Active since March 28, 2007PECOS Enrolled
3710 SOUTHERN HILLS BLVD STE 700, ROGERS, AR 72758(479) 254-8111(479) 254-8112 Get Directions Write a Review

NPPES record last updated: September 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jill Elizabeth Self-pike D.m.d NPPES

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

DR. JILL ELIZABETH SELF-PIKE D.M.D (NPI 1073632220) is an individual general practice provider in Rogers, Arkansas, licensed in Arkansas (3403) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073632220
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JILL ELIZABETH SELF-PIKECredential: D.M.D
Location Address3710 SOUTHERN HILLS BLVD STE 700Rogers, AR 72758-8094
Mailing Address3710 Southern Hills Blvd Ste 700Rogers, AR 72758-8094 · (479) 936-8600 · Fax (479) 636-1755
Phone(479) 254-8111
Fax(479) 254-8112
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateSeptember 17, 2009
✔ NPI 1073632220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3403
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.
3710 SOUTHERN HILLS BLVD STE 700, Rogers, AR 72758
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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 Self-pike D.m.d 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 72758 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

ST. FRANCIS HOUSE NWA, INC.
Clinic/Center (Dental)
3710 SOUTHERN HILLS BLVD STE 700
ROGERS, AR 72758
Benton County (479) 936-8600

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 Self-pike's NPI number?

The NPI number for Jill Self-pike is 1073632220. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jill Self-pike located?

Jill Self-pike practices at 3710 Southern Hills Blvd Ste 700, Rogers, AR 72758. The listed phone number is (479) 254-8111.

What is Jill Self-pike's specialty?

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

Is Jill Self-pike enrolled in Medicare?

Yes. Jill Self-pike is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Self-pike was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.