Jensens Shoes

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332BC3200X Issued in TN

Legal business name

JENSENS SHOES

Practice address

73 White Bridge Rd
Suite 123
Nashville, TN 37205-1444

Phone

(615) 356-9699

Fax

(615) 356-9702

NPI assigned

Feb 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack K Jensen, CERTIFIED PEDORTHIST

Title

Owner

Phone

(615) 356-9699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1174792816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD",
            "address_2": "SUITE 123",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-356-9699",
            "fax_number": "615-356-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD",
            "address_2": "SUITE 123",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-356-9699",
            "fax_number": "615-356-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSENS SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-356-9699",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Jensen
• David Taylor Jensen, MD
• Kristen Ann Jensen, PA
• Sasha Rose Jensen, MSN, ARNP FNP-C, RN
• Tracy Steed Jensen, APN, WHNP-BC
• Jaeeun Jeong
• Lana Jeradeh Boursoulian, M.D.
• Alexa Jerde
• Jere C. Manning D.D.S.
• Jeremy D. Elliott D.M.D.

• Customized Equipment (DME) in Nashville, TN
• Providers in Nashville, TN by specialty
• Customized Equipment (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.