Organization Active NPI

Erik Jenson DMD PLLC

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1023840188
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIK JENSON DMD PLLC
Practice address
6202 NE Highway 99 Ste 5
Vancouver, WA 98665-8747
Phone
(360) 693-2592
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Erik JensonNPI 1972024552
Title
Dentist
Phone
(541) 554-8679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6202 NE Highway 99 Ste 5
Vancouver, WA 98665-8747

Mailing address

6202 NE Highway 99 Ste 5
Vancouver, WA 98665-8747
Phone (360) 693-2592

National Provider Directory

National Provider Directory

Locations

6202 NE Highway 99
Ste 5
Vancouver, WA 98665
Phone (360) 693-2592

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1023840188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 NE HIGHWAY 99 STE 5",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658747",
            "telephone_number": "360-693-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 NE HIGHWAY 99 STE 5",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658747",
            "telephone_number": "360-693-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK JENSON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "JENSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-554-8679"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.