Active NPI
Jeanette Toft Jensen, D.D.S.
- General Practice Dentistry
- Glenview, IL
National Provider Identifier
1124157037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-023265
- Practice address
- 1500 Waukegan Road
Suite 225
Glenview, IL 60025-2164 - Phone
- (847) 657-0535
- Fax
- (847) 998-8988
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- 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 | 019-023265 | IL | Primary |
Addresses
Primary practice location
1500 Waukegan Road
Suite 225
Glenview, IL 60025-2164
Mailing address
1500 Waukegan Road
Ste 225
Glenview, IL 60025-2164
Phone (847) 657-0535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-023265 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1124157037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WAUKEGAN ROAD",
"address_2": "STE 225",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252164",
"telephone_number": "847-657-0535",
"fax_number": "847-998-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WAUKEGAN ROAD",
"address_2": "SUITE 225",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252164",
"telephone_number": "847-657-0535",
"fax_number": "847-998-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JEANETTE",
"middle_name": "TOFT",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-023265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.