Organization Active NPI

Nathan J. Jensen, DMD, PLLC

Doing business as Filson Gentle Dentistry

  • Dentist
  • Bayport, MN
National Provider Identifier
1467112037
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NATHAN J. JENSEN, DMD, PLLC
Doing business as
Filson Gentle Dentistry
Practice address
277 3Rd St N
Bayport, MN 55003-1028
Phone
(651) 439-2352
NPI assigned
Dec 23, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Dr. Nathan John Jensen, DMDNPI 1003229618
Title
Owner
Phone
(651) 439-2352

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
Dentist 122300000X Primary

Addresses

Primary practice location

277 3Rd St N
Bayport, MN 55003-1028

Mailing address

277 3Rd St N
Bayport, MN 55003-1028
Phone (651) 439-2352

Other names 1

  • Filson Gentle Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

277 3rd St N
Bayport, MN 55003
Phone (651) 383-1750

Practitioners & affiliated clinicians

Practitioners 6

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": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1467112037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031028",
            "telephone_number": "651-439-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031028",
            "telephone_number": "651-439-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN J. JENSEN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-439-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Filson Gentle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayport, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.