Nathan John Jensen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1001264-15 Issued in WI

Practice address

227 Meridian Dr
Suite 1
New Richmond, WI 54017-2565

Phone

(715) 246-2111

Fax

(715) 246-2579

NPI assigned

Jun 11, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nathan J. Jensen, DMD, PLLC

  • Dentist
  • Bayport, MN
  • NPI 1467112037
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1003229618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MERIDIAN DR",
            "address_2": "SUITE 1",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172565",
            "telephone_number": "715-246-2111",
            "fax_number": "715-246-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MERIDIAN DR",
            "address_2": "SUITE 1",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172565",
            "telephone_number": "715-246-2111",
            "fax_number": "715-246-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "NATHAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001264-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinite Health Collaborative, PA
• Natalie Jackson, MA, CCC-SLP
• Daniel Robert Janu, DNAP, APRN
• Jeffrey W. Williams, O.D. & Associates, PA
• Dane Bruce Jensen, M.D.
• Michael Jacob Jepsen, DO
• Karis Elizabeth Johns, M.S, MFT
• Ashley Johnson
• Brooke E Johnson, D.O.
• Michele M Johnson, LMT, NCTMB

• Dentist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.