Organization Active NPI

Steven K Jensen DDS, PC

  • General Practice Dentistry
  • Sandy, UT
National Provider Identifier
1205057197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
145786 Issued in UT
Legal business name
STEVEN K JENSEN DDS, PC
Practice address
880 E 9400 S Ste 101
Sandy, UT 84094-4138
Phone
(801) 553-1616
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven K Jensen, DDS
Title
Owner
Phone
(801) 553-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 145786 UT Primary

Addresses

Primary practice location

880 E 9400 S Ste 101
Sandy, UT 84094-4138

Mailing address

880 E 9400 S Ste 101
Sandy, UT 84094-4138
Phone (801) 553-1616

Other identifiers 1

IdentifierTypeStateIssuer
972347OtherPAUNITED CONCORDIA DENTAL I

National Provider Directory

National Provider Directory

Locations

880 E 9400 S
Ste 101
Sandy, UT 84094
Phone (801) 553-1616

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205057197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E 9400 S STE 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944138",
            "telephone_number": "801-553-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E 9400 S STE 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944138",
            "telephone_number": "801-553-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K JENSEN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-553-1616",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "145786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA DENTAL I",
            "identifier": "972347",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.