Organization Active NPI

Jeffrey L Jensen DPM PC

Doing business as Diabetic Foot & Wound Center

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
National Provider Identifier
1396961686
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
469 Issued in CO
Legal business name
JEFFREY L JENSEN DPM PC
Doing business as
Diabetic Foot & Wound Center
Practice address
4600 Hale Pkwy Ste 440
Denver, CO 80220-4000
Phone
(303) 321-4477
Fax
(303) 321-5323
NPI assigned
Apr 17, 2007
Last updated
Oct 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Ramona Haley
Title
Ofice MGR
Phone
(303) 321-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 469 CO Primary

Addresses

Primary practice location

4600 Hale Pkwy Ste 440
Denver, CO 80220-4000

Mailing address

4600 Hale Pkwy Ste 440
Denver, CO 80220-4000
Phone (303) 321-4477

Other identifiers 1

IdentifierTypeStateIssuer
04014197MedicaidCO

Other names 1

  • Diabetic Foot & Wound Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1396961686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY STE 440",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204000",
            "telephone_number": "303-321-4477",
            "fax_number": "303-321-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY STE 440",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204000",
            "telephone_number": "303-321-4477",
            "fax_number": "303-321-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L JENSEN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "OFICE MGR",
        "authorized_official_telephone_number": "303-321-4477"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014197",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Foot & Wound Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.