Alison Jensen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022396 Issued in OH

Practice address

3934 Everhard Rd NW
Canton, OH 44709

Phone

(330) 994-0205

NPI assigned

Dec 4, 2007

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Canton Pediatric Dental Center

  • Pediatric Dentistry
  • Canton, OH
  • NPI 1063710010
  NPD (past)
• Shelly L Boss DDS Inc

  • Dentist
  • Canton, OH
  • NPI 1538245873
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1114109832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447094005",
            "telephone_number": "330-994-0205",
            "fax_number": "330-994-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44709",
            "telephone_number": "330-994-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4097 Fulton Dr NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182817",
            "country_code": "US",
            "telephone_number": "330-492-1730",
            "fax_number": "330-493-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Jennings
• Laressa Jennings
• Shayna Jennings
• Sierra Jennings
• Toniqua D Jennings
• James D. Jensen, D.M.D.
• Leeann Jensen, CAA
• Philip A. Jensen, D.D.S.
• Jerrels Home Cares
• Carl Darnell Jeter II

• General Practice Dentistry in Canton, OH
• Providers in Canton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.