DR. JAKLIN BEZIK D.D.S., M.D.S.,
NPI 1356480552
Dentist - Periodontics in Fairfax, VA

Active since February 05, 2007Opted out of Medicare · through Apr 5, 2028
11150 FAIRFAX BLVD, 301, FAIRFAX, VA 22030(703) 934-4474(703) 934-4705 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaklin Bezik D.d.s., M.d.s., NPPES

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

DR. JAKLIN BEZIK D.D.S., M.D.S., (NPI 1356480552) is an individual periodontics provider in Fairfax, Virginia, licensed in Virginia (0401410580) and active in the NPI registry since February 2007. She has opted out of Medicare through April 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356480552
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JAKLIN BEZIKCredential: D.D.S., M.D.S.,
Location Address11150 FAIRFAX BLVD, 301Fairfax, VA 22030-5066
Mailing Address7073 Idylwood RdFalls Church, VA 22043-1527 · (703) 448-3760 · Fax (703) 448-3760
Fax(703) 934-4705
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356480552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in VA · 0401410580 Licensed in DC · DEN1000297
Definition

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.

11150 FAIRFAX BLVD, Fairfax, VA 22030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jaklin Bezik D.d.s., M.d.s., has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 5, 2016 through April 5, 2028.

Opt-Out Effective DateApril 5, 2016
Opt-Out In Effect ThroughApril 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 13

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

Speech-Language Pathologist
11150 FAIRFAX BLVD
FAIRFAX, VA 22030
Preventive Medicine (Public Health & General Preventive Medicine)
11150 FAIRFAX BLVD, SUITE 550
FAIRFAX, VA 22030
Speech-Language Pathologist
11150 FAIRFAX BLVD, SUITE 500
FAIRFAX, VA 22030
Dentist (General Practice)
11150 FAIRFAX BLVD, SUITE 301
FAIRFAX, VA 22030
Speech-Language Pathologist
11150 FAIRFAX BLVD, SUITE 500
FAIRFAX, VA 22030
Speech-Language Pathologist
11150 FAIRFAX BLVD
FAIRFAX, VA 22030
Speech-Language Pathologist
11150 FAIRFAX BLVD, SUIT 500
FAIRFAX, VA 22030
Speech-Language Pathologist
11150 FAIRFAX BLVD, SUITE 500
FAIRFAX, VA 22030

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 Jaklin Bezik's NPI number?

The NPI number for Jaklin Bezik is 1356480552. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Jaklin Bezik located?

Jaklin Bezik practices at 11150 Fairfax Blvd 301, Fairfax, VA 22030. The listed phone number is (703) 934-4474.

What is Jaklin Bezik's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jaklin Bezik enrolled in Medicare?

No. Jaklin Bezik has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jaklin Bezik accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jaklin Bezik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaklin Bezik was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.