NPIMap

Organization Active NPI

Jensen Dental and Assocates

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1093043002
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3139 Issued in NM
Legal business name
JENSEN DENTAL AND ASSOCATES
Practice address
1496 S Saint Francis Dr
Santa Fe, NM 87505-4038
Phone
(505) 982-4317
Fax
(505) 982-8663
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Ryan E. Jensen, D.M.D.NPI 1144458746
Title
Owner/Dentist
Phone
(505) 982-4317

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3139 NM Primary

Addresses

Primary practice location

1496 S Saint Francis Dr
Santa Fe, NM 87505-4038

Mailing address

1496 S. Saint Francis Drive
Santa Fe, NM 87505
Phone (505) 982-4317

National Provider Directory

National Provider Directory

Locations

1496 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 982-4317

Practitioners & affiliated clinicians

Practitioners 3

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": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1093043002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 S. SAINT FRANCIS DRIVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-982-4317",
            "fax_number": "505-982-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054038",
            "telephone_number": "505-982-4317",
            "fax_number": "505-982-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN DENTAL AND ASSOCATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "505-982-4317",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "3139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.