Terry Michael Jensen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

322 M St
Neligh, NE 68756-1421

Phone

(402) 887-5214

Fax

(402) 887-4904

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 12, 2016 through May 12, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Terry M. Jensen

  • Dentist
  • Neligh, NE
  • NPI 1881096279
  NPD (past) Authorized official
• Neligh Family Dentistry, LLC

  • Dental Clinic/Center
  • Neligh, NE
  • NPI 1033684733
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366540940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 M ST",
            "address_2": "PO BOX 206",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687561421",
            "telephone_number": "402-887-5214",
            "fax_number": "402-887-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 M ST",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687561421",
            "telephone_number": "402-887-5214",
            "fax_number": "402-887-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Huffman
• Lori Ickes
• Barbara Jackson
• Rachel Marie Jackson
• Mariah Joy Jacobsen
• Timothy Allen Johnson, CRNA
• Carla Juarez
• Loretta Jean Juracek
• Sarah Sue Keegan, RD, LMNT, CDE
• Kristina King

• General Practice Dentistry in Neligh, NE
• Providers in Neligh, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.