Kathryn Joanne Jensen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019034309 Issued in IL

Practice address

1254 N Wells St
Chicago, IL 60610-1981

Phone

(312) 337-3300

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

Yes

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.

• Brighter Dental

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1639099476
  NPD (past)
• Brighter Dental of Old Town

  • Dentist
  • Chicago, IL
  • NPI 1164829032
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1144914045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N WOLCOTT AVE APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227582",
            "telephone_number": "630-973-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101981",
            "telephone_number": "312-337-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 S Michigan Ave Unit 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161282",
            "country_code": "US",
            "telephone_number": "312-998-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KATHRYN",
        "middle_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Jensen, APRN
• Jessica Margaret Jensen, MA
• Jill Emily Jensen, LCSW
• Julie Jensen, LSW
• Kathleen Jensen, LCSW
• Ross Jensen, M.S.
• Sarah W Jensen, PT
• Stephen Jensik, M.D.
• Jamie Jenskovec
• Heather Jensky

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.