Terry Michael Jensen, DDS
Individual provider Active NPI General Practice Dentistry · Neligh, NE
NPI 1366540940 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366540940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- 322 M St
Neligh, NE 68756-1421 - Phone
- (402) 887-5214
- Fax
- (402) 887-4904
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective May 12, 2016 through May 12, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neligh Family Dentistry, LLC | Past | Accepting new patients | |
| Terry M. Jensen | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NE | Yes |
Addresses
Primary practice location
322 M St
Neligh, NE 68756-1421
Mailing address
322 M St
PO Box 206
Neligh, NE 68756-1421
Phone (402) 887-5214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04674 | Other | NE | BLUE CROSS/BLUE SHIELD |
| 470581743-00 | Medicaid | NE |
Other providers in Neligh, NE
- Jessie Huffman
- Lori Ickes
- Barbara Jackson
- Rachel Marie Jackson
- Mariah Joy Jacobsen
- Timothy Allen Johnson
- Carla Juarez
- Loretta Jean Juracek
- Sarah Sue Keegan
- Kristina King
All providers in Neligh, NE · General Practice Dentistry in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.