Conway Jensen, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D10670 Issued in WA

Practice address

1215 SW Scotton Way Ste 130
Battle Ground, WA 98604-2700

Phone

(360) 666-0530

NPI assigned

Mar 30, 2007

Last updated

Feb 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Children's Dentist

  • Pediatric Dentistry
  • Battle Ground, WA
  • NPI 1679728711
  NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1457471773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW SCOTTON WAY STE 130",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042700",
            "telephone_number": "360-666-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SW SCOTTON WAY STE 130",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042700",
            "telephone_number": "360-666-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CONWAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "D10670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Medical Consultants, LLC
• Integrated Renewal
• Integrative Mental Health PNW
• Jason R Egbert OD PC (First Sight Family Vision)
• Rachel Jennett
• Doris Jean Jensen, LMP
• Jeremy Martens DMD PLLC
• Travis-Dean M Johns, DC
• Alicia Katherine Johnson, LMP,
• Delvin R Jones, M.S., P.A.-C

• Pediatric Dentistry in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.