Active NPI
Robert T Jensen, M.D.
- Special Hospital
- Bethesda, MD
National Provider Identifier
1356684310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- D20403
- Practice address
- 9608 Wadsworth Dr
Bethesda, MD 20817-2455 - Phone
- (301) 897-8095
- NPI assigned
- Mar 28, 2013
- Last updated
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | D20403 | MD | Primary |
Addresses
Primary practice location
9608 Wadsworth Dr
Bethesda, MD 20817-2455
Mailing address
9608 Wadsworth Dr
Bethesda, MD 20817-2455
Phone (301) 897-8095
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D20403 | MD | MD | Special Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1356684310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9608 WADSWORTH DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172455",
"telephone_number": "301-897-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9608 WADSWORTH DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172455",
"telephone_number": "301-897-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ROBERT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "MD",
"license": "D20403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.