Dr. Kaci B. Jensen, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4034 Issued in ID

Legal business name

DR. KACI B. JENSEN, PLLC

Practice address

9755 W Leo Dr
Boise, ID 83709-8249

Phone

(208) 791-4926

NPI assigned

Jul 13, 2005

Last updated

Mar 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kaci B. Jensen, DDSNPI 1952567430

Title

Owner

Phone

(208) 791-4926

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaci B Jensen, DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1952567430
  NPD (past) Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1255339297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 W LEO DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837098249",
            "telephone_number": "208-791-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 W LEO DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837098249",
            "telephone_number": "208-791-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KACI B. JENSEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KACI",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-791-4926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4034",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2000159748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807602800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan K Doyle, D.D.S.
• Alma Dozier, RN
• Dr Jeremy Brown DMD PA (Boise Dental Arts)
• Dr Lauren Baker Physical Therapy and Wellness LLC (Dr. Lauren Baker In Home Pediatric Physical Therapy)
• Dr. Farrell, LLC
• Dr. Michael D. Rae, DC, PLLC
• Dr. Mick L. Tiegs, Inc., PS (Northside Chiropractic)
• Dr. William Stano (The Walking Center)
• Dr.Uma's Healing and Creative Arts Center Inc.
• Andrea H Drake, LCSW

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.