Organization Active NPI

Jensen & Jensen DDS PA

  • Periodontics
  • Maplewood, MN
National Provider Identifier
1437275039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7860 Issued in MN
Legal business name
JENSEN & JENSEN DDS PA
Practice address
2480 White Bear Ave N Ste 201
Maplewood, MN 55109-4567
Phone
(651) 770-3014
Fax
(651) 770-9199
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert L Jensen, DDSNPI 1720099849
Title
Doctor
Phone
(651) 770-3014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D7860 MN Primary

Addresses

Primary practice location

2480 White Bear Ave N Ste 201
Maplewood, MN 55109-4567

Mailing address

2480 White Bear Ave N Ste 201
Maplewood, MN 55109-4567
Phone (651) 770-3014

National Provider Directory

National Provider Directory

Locations

2480 White Bear Ave N
Ste 201
Saint Paul, MN 55109
Phone (651) 770-3014

Practitioners & affiliated clinicians

Practitioners 3

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437275039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 201",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094567",
            "telephone_number": "651-770-3014",
            "fax_number": "651-770-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 201",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094567",
            "telephone_number": "651-770-3014",
            "fax_number": "651-770-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN & JENSEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "651-770-3014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.