Individual provider Active NPI

Bridger Dean Jensen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CO
National Provider Identifier
1295135960
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DRP1220 Issued in FL
Practice address
8700 W 101St Ave Ste 300
Westminster, CO 80021-3978
Phone
(303) 865-7550
Fax
(303) 865-7551
NPI assigned
Aug 29, 2014
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DRP1220 FL Primary

Addresses

Primary practice location

8700 W 101St Ave Ste 300
Westminster, CO 80021-3978

Mailing address

8700 W 101St Ave Ste 300
Westminster, CO 80021-3978
Phone (303) 865-7550

Other practice location 1

1600 S Andrews Ave
Floor 3 West Wing
Fort Lauderdale, FL 33316-2510
Phone (954) 355-5703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DRP1220FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
J and J LLC Oral and Maxillofacial Surgery Past Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Nova Southeastern University, Inc Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1295135960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W 101ST AVE STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213978",
            "telephone_number": "303-865-7550",
            "fax_number": "303-865-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 101ST AVE STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213978",
            "telephone_number": "303-865-7550",
            "fax_number": "303-865-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave",
            "address_2": "Floor 3 West Wing",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-355-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRIDGER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DRP1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.