Active NPI
Benjamin Jensen, DDS, PC
- General Practice Dentistry
- Yankton, SD
National Provider Identifier
1083817498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- M935
- Legal business name
- BENJAMIN JENSEN, DDS, PC
- Practice address
- 2703 Fox Run Pkwy
Yankton, SD 57078-5350 - Phone
- (605) 665-7479
- NPI assigned
- Jun 6, 2007
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin D Jensen, DDS
- Title
- President
- Phone
- (605) 665-7479
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | M935 | SD | Primary |
Addresses
Primary practice location
2703 Fox Run Pkwy
Yankton, SD 57078-5350
Mailing address
2703 Fox Run Pkwy
Yankton, SD 57078-5350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730255159 | Other | SD | INDIVIDUAL NPI # |
| 4009856 | Other | TN | BCBS OF TN PROVIDER # |
| 7809990 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
2703 Fox Run Pkwy
Yankton, SD 57078
Phone (605) 655-1800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Yankton, SD
- NPI 1730255159
-
- General Practice Dentistry
- Yankton, SD
- NPI 1457241432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1083817498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 FOX RUN PKWY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 FOX RUN PKWY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785350",
"telephone_number": "605-665-7479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN JENSEN, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-665-7479",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "M935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1730255159",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN PROVIDER #",
"identifier": "4009856",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7809990",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.