Daniel Loran Jensen, DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

5101015155 Issued in MI

Practice address

27500 Hoover Rd
Ste 100
Warren, MI 48093-4586

Phone

(586) 754-2558

NPI assigned

Aug 14, 2007

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djensen248920@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/16188/brand/1/csg/1/fhir/r4

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.

• Daniel L Jensen D O P L L C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Warren, MI
  • NPI 1619242179
  NPD Authorized official
• Bi County Clinical Practices

  • Vascular Surgery Physician
  • Warren, MI
  • NPI 1124213921
  NPD (past)
• Bi-County Clinical Practices

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1073708772
  NPD (past)
• The Detroit Osteopathic Hospital Corporation

  dba Bi-County Clinical Practices

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1518159722
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1326230236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6739195",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673937",
            "telephone_number": "810-720-5715",
            "fax_number": "810-732-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 HOOVER RD",
            "address_2": "STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934586",
            "telephone_number": "586-754-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DANIEL",
        "middle_name": "LORAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101015155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Schwalb
• Deshawnda Jenkins
• Randon Carl Jenkins
• Tyaira Jenkins
• Deja Jennings
• John Jerius, MD
• Victoria Ashley Jeross, LLMSW
• Kenley Jewell
• Renee R Jiddou-Yaldoo, MD
• Nancy Jimenez, MD

• Vascular Surgery Physician in Warren, MI
• Providers in Warren, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.