Organization Active NPI

Shawn D Jensen, DDS

  • Dental Clinic/Center
  • Colby, KS
National Provider Identifier
1407049125
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6969 Issued in KS
Legal business name
SHAWN D JENSEN, DDS
Practice address
1690 W 4TH St
Colby, KS 67701-1545
Phone
(785) 460-3999
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. Shawn D JensenNPI 1093801086
Title
Dentist
Phone
(620) 663-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6969 KS Primary

Addresses

Primary practice location

1690 W 4TH St
Colby, KS 67701-1545

Mailing address

1690 W 4TH St
Colby, KS 67701-1545
Phone (785) 460-3999

National Provider Directory

National Provider Directory

Locations

1690 W 4th St
Colby, KS 67701
Phone (785) 460-3999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1407049125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 W 4TH ST",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677011545",
            "telephone_number": "785-460-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 W 4TH ST",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677011545",
            "telephone_number": "785-460-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN D JENSEN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "620-663-1788",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.