Cory Jenson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018014354 Issued in MO

Practice address

5106 NE Antioch Rd
Kansas City, MO 64119-2502

Phone

(816) 298-8585

NPI assigned

May 13, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1003306390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 NE ANTIOCH RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192502",
            "telephone_number": "816-298-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 NE ANTIOCH RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192502",
            "telephone_number": "816-298-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018014354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Colby Jensen, D.C.
• Megan Elizabeth Jensen, RN, CPNP-PC
• Natalie Joy Jensen, D.D.S.
• Nathan Daniel Jensen, D.C.
• Rachel Jensen, PSYD
• Kyle Robert Jenson, DMD
• Robin Decoursey Jenson, M.D.
• Ryan Thomas Jenson, DPM
• Megan Jeong
• Lane Jeremiah, DPT

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.