H CHARLES JELINEK JR. D.D.S.
NPI 1962627554
Dentist - General Practice in Fairfax, VA

Active since April 17, 2007Opted out of Medicare · through Sep 15, 2026
8505 ARLINGTON BLVD, STE. 260, FAIRFAX, VA 22031(703) 560-8700(703) 560-1745 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About H Charles Jelinek Jr. D.d.s. NPPES

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

H CHARLES JELINEK JR. D.D.S. (NPI 1962627554) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (VA7079) and active in the NPI registry since April 2007. He has opted out of Medicare through September 15, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962627554
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameH CHARLES JELINEK JR.Credential: D.D.S.
Location Address8505 ARLINGTON BLVD, STE. 260Fairfax, VA 22031-4621
Mailing Address8505 Arlington Blvd, Ste. 260Fairfax, VA 22031-4621 · (703) 560-8700 · Fax (703) 560-1745
Fax(703) 560-1745
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateSeptember 15, 2016
NPI 1962627554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · VA7079
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.
8505 ARLINGTON BLVD, Fairfax, VA 22031

Other Identifiers 3

OtherVA7079VA · Viginia License
Other7394890001VA · Ptan
Other541451347VA · Tin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

H Charles Jelinek Jr. D.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 September 15, 2016 through September 15, 2026.

Opt-Out Effective DateSeptember 15, 2016
Opt-Out In Effect ThroughSeptember 15, 2026Opt-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 22031 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 20

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

Dentist (Pediatric Dentistry)
8505 ARLINGTON BLVD, STE 370
FAIRFAX, VA 22031
Internal Medicine (Cardiovascular Disease)
8505 ARLINGTON BLVD, SUITE 200
FAIRFAX, VA 22031
Pediatrics (Pediatric Nephrology)
8505 ARLINGTON BLVD, SUITE 100
FAIRFAX, VA 22031
Specialist
8505 ARLINGTON BLVD, SUITE 400
FAIRFAX, VA 22031
Specialist
8505 ARLINGTON BLVD, SUITE 210
FAIRFAX, VA 22031
Nurse Practitioner
8505 ARLINGTON BLVD, SUITE 450
FAIRFAX, VA 22031
Physician Assistant
8505 ARLINGTON BLVD, SUITE 200
FAIRFAX, VA 22031
Dentist
8505 ARLINGTON BLVD
FAIRFAX, VA 22031

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 H Jelinek's NPI number?

The NPI number for H Jelinek is 1962627554. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is H Jelinek located?

H Jelinek practices at 8505 Arlington Blvd Ste. 260, Fairfax, VA 22031. The listed phone number is (703) 560-8700.

What is H Jelinek's specialty?

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

Is H Jelinek enrolled in Medicare?

No. H Jelinek has opted out of Medicare through September 15, 2026. 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.

When was this NPI record last updated?

The NPPES record for H Jelinek was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.