DR. JAKUB PIETROWSKI DDS
NPI 1417946690
Dentist - Oral and Maxillofacial Surgery in Travis Afb, CA
About Dr. Jakub Pietrowski Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAKUB PIETROWSKI DDS (NPI 1417946690) is an individual oral and maxillofacial surgery provider in Travis Afb, California, licensed in California (DDS100544) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Jakub Pietrowski Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
APO, AA 94535
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
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 Jakub Pietrowski's NPI number?
The NPI number for Jakub Pietrowski is 1417946690. It was assigned to this individual provider in the NPPES registry on October 19, 2005.
Where is Jakub Pietrowski located?
Jakub Pietrowski practices at 101 Bodin Circle 60ds/Oral Maxillofacial Surgery, Travis Afb, CA 94535. The listed phone number is (707) 423-7085.
What is Jakub Pietrowski's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Jakub Pietrowski enrolled in Medicare?
Yes. Jakub Pietrowski is registered in the Medicare PECOS enrollment system.
What insurance does Jakub Pietrowski accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jakub Pietrowski 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 Jakub Pietrowski was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jakub Pietrowski, DDS · NPI 1417946690
Oral and Maxillofacial Surgery provider in Travis Afb, California. Individual provider, active in the CMS NPPES registry since October 19, 2005.
## Identity
- **NPI:** 1417946690 (Entity type: Individual)
- **Enumerated:** October 19, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DDS100544 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BODIN CIRCLE, 60DS/ORAL MAXILLOFACIAL SURGERY, Travis Afb, CA 94535-1809
- **Phone:** (707) 423-7085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417946690) · Data from the CMS NPPES public registry.