Tyler Jensen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13698 Issued in MN

Practice address

1099 Helmo Ave N Ste 110
Oakdale, MN 55128-6034

Phone

(651) 372-3300

NPI assigned

May 25, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Center Lake Dental, PA

  • Dental Clinic/Center
  • Center City, MN
  • NPI 1871954651
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1487002960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MAIN ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550567068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 110",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286034",
            "telephone_number": "651-372-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 E Rum River Dr S",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550082569",
            "country_code": "US",
            "telephone_number": "763-347-4399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6460 Main St",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MN",
            "postal_code": "550567068",
            "country_code": "US",
            "telephone_number": "651-674-7096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Center City",
            "state": "MN",
            "postal_code": "550123553",
            "country_code": "US",
            "telephone_number": "651-257-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TYLER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haifa Januune
• Valerie Jane Jarstad, M.D.
• Jalal Jefferson
• Emily Lenai Jensen, BEHAVIOR THERAPIST
• Hannah Jean Jensen, M.A., CCC-SLP
• Cameo Rose Johnson
• Emily Johnson, M.S.W., LICSW
• Kendalle B Johnson
• Kevin A. Johnson, LMFT, LADC, CTP
• Laurie Kay Johnson, MA, CCC-SLP

• Dentist in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.