Active NPI
Brett T. Jensen, D.D.S.
- General Practice Dentistry
- Folsom, CA
National Provider Identifier
1124058235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43022
- Practice address
- 2545 E Bidwell St Ste 120
Folsom, CA 95630-6443 - Phone
- (916) 983-9929
- Fax
- (916) 983-3336
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43022 | CA | Primary |
Addresses
Primary practice location
2545 E Bidwell St Ste 120
Folsom, CA 95630-6443
Mailing address
2545 E Bidwell St Ste 120
Folsom, CA 95630-6443
Phone (916) 983-9929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160406000534 | CA | Order and Referring Only - Dentist | 6709184831 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43022 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achman Jaswal DDS Corporation | Past | Accepting new patients | |
| Brett Jensen, DDS, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Folsom, CA
- NPI 1407395635
-
- Dental Clinic/Center
- Folsom, CA
- NPI 1194682229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124058235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 E BIDWELL ST STE 120",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306443",
"telephone_number": "916-983-9929",
"fax_number": "916-983-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 E BIDWELL ST STE 120",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306443",
"telephone_number": "916-983-9929",
"fax_number": "916-983-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "BRETT",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
- Kaylah Jenkins, MS
- Jennifer Nava LMFT & Associates
- Jennifer Setina, Rdhap Dental Hygiene Practice, Inc.
- Julie Zurlinden Jennings, RN, FNP
- Gina L Jensen-Hill, NMW
- Jeslia Inc (Synergy HomeCare of Folsom Lake)
- Jessica Lepage-Smith, LCSW & Associates (Jessica LePage-Smith, LCSW)
- Karysa Ann Jimenez
- Myron Jimenez, O.D.
- Jateen Kumar Jivan, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.