Christopher J Jensen, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

248277 Issued in NY

Practice address

2485 Chief William Dr
Suite 100
Fairbanks, AK 99709-4873

Phone

(907) 457-5277

Fax

(907) 457-5278

NPI assigned

Nov 2, 2006

Last updated

Sep 5, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aurora Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Fairbanks, AK
  • NPI 1659515237
  Authorized official Same address or phone
• WW Enterprise, LLC

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1184016461
  Authorized official Same address or phone

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1285712323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 CHIEF WILLIAM DR",
            "address_2": "SUITE 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094873",
            "telephone_number": "907-457-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 CHIEF WILLIAM DR",
            "address_2": "SUITE 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094873",
            "telephone_number": "907-457-5277",
            "fax_number": "907-457-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "248277",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "248277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING LICENSE",
            "identifier": "RT 1100",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Grace Jenkins
• Hailey Jenkins
• Jasmine Ta'Nay Jenkins
• Sean Jenks, DC
• Jennifer Hood LPC, LLC
• Cole Symon Jensen
• Henry Charles Jensen
• Katelyn A Jensen, CSFA
• Paul L Jensen, MD
• Sarah Jensen, LCSW

• Plastic and Reconstructive Surgery Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Plastic and Reconstructive Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.