Active NPI
McKay Jensen, DDS
- Dentist
- Coos Bay, OR
National Provider Identifier
1467199968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11765
- Practice address
- 295 S 10TH St
Coos Bay, OR 97420-4623 - Phone
- (541) 269-5353
- Fax
- (541) 266-0933
- NPI assigned
- May 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11765 | OR | Primary |
| Dentist | 122300000X | 61927 | KS |
Addresses
Primary practice location
295 S 10TH St
Coos Bay, OR 97420-4623
Mailing address
295 S 10TH St
Coos Bay, OR 97420-4623
Phone (541) 269-5353
Other practice location 1
155 Delaware Ave SE
Bandon, OR 97411-9471
Phone (541) 551-7347
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61927 | KS | MD | Dentist |
| D11765 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Dental Group LLC | Dentist | Current | Accepting new patients |
Locations
155 Delaware Ave SE
Bandon, OR 97411
Phone (541) 347-5555
295 S 10th St
Coos Bay, OR 97420
Phone (541) 269-5353
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1467199968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 S 10TH ST",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974204623",
"telephone_number": "541-269-5353",
"fax_number": "541-266-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 S 10TH ST",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974204623",
"telephone_number": "541-269-5353",
"fax_number": "541-266-0933"
}
],
"practiceLocations": [
{
"address_1": "155 Delaware Ave SE",
"address_purpose": "LOCATION",
"city": "Bandon",
"state": "OR",
"postal_code": "974119471",
"country_code": "US",
"telephone_number": "541-551-7347",
"fax_number": "541-266-0933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "MCKAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11765",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.