Organization Active NPI

Benjamin Jensen, DDS, PC

  • General Practice Dentistry
  • Yankton, SD
National Provider Identifier
1083817498
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M935 Issued in SD
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Benjamin D Jensen, DDSNPI 1730255159
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1730255159OtherSDINDIVIDUAL NPI #
4009856OtherTNBCBS OF TN PROVIDER #
7809990MedicaidSD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.