Matthew Olaf Jensen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60153882 Issued in WA

Practice address

801 S 3Rd St Ste D
Renton, WA 98057-2799

Phone

(425) 226-2821

Fax

(206) 202-2611

NPI assigned

Sep 1, 2009

Sex

Male

Sole proprietor

No

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 WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chan Healthcare Group PSGroup PAC ID 6204992092, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chan Healthcare Group PS

  • Chiropractor
  • Seattle, WA
  • NPI 1528204690
  Medicare reassignment Care Compare group NPD
• Integrative Injury Clinic, PS

  • Physical Therapist
  • Seattle, WA
  • NPI 1548766058
  NPD (past)
• Pacific Chiropractic, LLC

  • Chiropractor
  • Renton, WA
  • NPI 1710348123
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1063645463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 PHINNEY AVE N APT 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035500",
            "telephone_number": "206-779-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 3RD ST STE D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572799",
            "telephone_number": "425-226-2821",
            "fax_number": "206-202-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MATTHEW",
        "middle_name": "OLAF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60153882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Taniguchi MD PS
• Christine Rose Jennings, ARNP, FNP-BC
• Alison Elizabeth Jensen, OD
• Chuck Ronald Jensen, PHARMACIST
• Jennifer Jensen
• Paul Scott Jensen, O.D.
• Jenterprises PS
• Patricia Jergens, ARNP
• Sara E Jerger, CCC-SLP
• Jet City Transportation Inc

• Chiropractor in Renton, WA
• Providers in Renton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.