Active NPI
Jay B Jensen, M.D.
- Cardiovascular Disease Physician
- Cleburne, TX
National Provider Identifier
1467722967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D7841
- Practice address
- 1117 Cottonwood CT
Cleburne, TX 76033-6662 - Phone
- (817) 645-0525
- Fax
- (817) 645-0525
- NPI assigned
- Dec 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D7841 | TX | Primary |
Addresses
Primary practice location
1117 Cottonwood CT
Cleburne, TX 76033-6662
Mailing address
1117 Cottonwood CT
Cleburne, TX 76033-6662
Phone (817) 645-0525
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7841 | TX | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325289600000",
"number": "1467722967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 COTTONWOOD CT",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760336662",
"telephone_number": "817-645-0525",
"fax_number": "817-645-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 COTTONWOOD CT",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760336662",
"telephone_number": "817-645-0525",
"fax_number": "817-645-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JAY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-31",
"last_updated": "2011-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "D7841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.