Jaren Tolman Jensen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-100 Issued in NV

Practice address

3896 N Martin L King Blvd
North Las Vegas, NV 89032-6603

Phone

(702) 614-1792

NPI assigned

Feb 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jaren Jensen PLLC

  dba Smile Reef Pediatric Dentistry

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1275382624
  NPD Authorized official
• Lee MLK Dental Group, PC

  dba Alexander Dental Group and Orthodontics

  • General Practice Dentistry
  • N Las Vegas, NV
  • NPI 1952497984
  NPD (past)

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1225207251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 W FLAMINGO RD",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475719",
            "telephone_number": "702-614-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3896 N MARTIN L KING BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326603",
            "telephone_number": "702-614-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JAREN",
        "middle_name": "TOLMAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-24",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7457",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Jenkins, NP
• Lashara D Jenkins
• Nicholas Jennings, RRT
• Timothy Jennings
• Erica Jensen
• Whitney Jensen
• Emmanuel Jenson
• Yoojin Jeong
• Samuel Lamont Jerideau, FNP
• Tamanika Jernigan

• Pediatric Dentistry in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.