Scott Lane Jensen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

31052 Issued in TX

Practice address

15303 Huebner Rd
BLDG. 17
San Antonio, TX 78248-0959

Phone

(210) 696-2563

NPI assigned

Jan 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gurr & Jensen Dental, PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1518486364
  NPD

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1386975258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD",
            "address_2": "BLDG. 17",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480959",
            "telephone_number": "210-696-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD",
            "address_2": "BLDG. 17",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480959",
            "telephone_number": "210-696-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SCOTT",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-16",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31052",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7540",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "31052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lyn Jensen, MS, RD, LD
• Karen Anne Jensen, RN, BSN, CCM
• Kent Charles Jensen, O.D.
• Laura Jensen
• Michael Jensen, MD
• Madalie Jentsch
• Austin Lee Jentz, DO
• Hyeju Jeon
• Karmen Jeon
• Myoungsook Jeong, ANP

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.