Mark E. Jensen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6517 Issued in OR

Practice address

199 SW Shevlin Hixon Dr
Bend, OR 97702-3201

Phone

(541) 330-5952

Fax

(541) 330-5935

NPI assigned

Jul 19, 2005

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 31, 2016 through Jan 31, 2028

Medicare enrollment (NPD)

Not 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.

• Stillwater Dental, LLC

  • Dentist
  • Bend, OR
  • NPI 1912477522
  NPD Authorized official

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104825363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SW SHEVLIN HIXON DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023201",
            "telephone_number": "541-330-5952",
            "fax_number": "541-330-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SW SHEVLIN HIXON DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023201",
            "telephone_number": "541-330-5952",
            "fax_number": "541-330-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARK",
        "middle_name": "E.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Weeks Ms LPC LLC
• Rebecca Miller Jennings, M.D.
• Shawnda Joy Jennings, PSS
• Andrew O Jensen, DO
• Jessica Jensen
• Devon Jero, LPC
• Denise Colette Jerome, P.T.
• Christie Jespersen
• Jessica a. Henderson PC
• Jessica Karriker, LLC

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.