Active NPI
Jensen & Jensen DDS PA
- Periodontics
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D7860
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L Jensen, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Periodontics
- Saint Paul, MN
- NPI 1720099849
-
- Periodontics
- Maplewood, MN
- NPI 1255751780
-
- Periodontics
- Woodbury, MN
- NPI 1083777122
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.