Active NPI
Paul G Jensen, D.C.
- Chiropractor
- Pleasant Grove, UT
National Provider Identifier
1417013178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 170947-1202
- Practice address
- 196 S Main St
Pleasant Grove, UT 84062-2631 - Phone
- (801) 785-9115
- Fax
- (801) 785-9195
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 170947-1202 | UT | Primary |
Addresses
Primary practice location
196 S Main St
Pleasant Grove, UT 84062-2631
Mailing address
196 S Main St
Pleasant Grove, UT 84062-2631
Phone (801) 785-9115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170947-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Health | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Pleasant Grove, UT
- NPI 1376908053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417013178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 S MAIN ST",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622631",
"telephone_number": "801-785-9115",
"fax_number": "801-785-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 S MAIN ST",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622631",
"telephone_number": "801-785-9115",
"fax_number": "801-785-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "PAUL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "170947-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.