NPIMap

Organization Active NPI

Stephen Ray Jensen DDS, LLC

  • Dental Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1497037402
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD3479 Issued in NM
Legal business name
STEPHEN RAY JENSEN DDS, LLC
Practice address
1161 Mall Dr Ste a
Las Cruces, NM 88011-8193
Phone
(575) 522-1779
Fax
(575) 522-4789
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Stephen Jensen, DDS
Title
Orthodontist/Owner
Phone
(575) 522-1779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DD3479 NM Primary

Addresses

Primary practice location

1161 Mall Dr Ste a
Las Cruces, NM 88011-8193

Mailing address

1161 Mall Dr Ste a
Las Cruces, NM 88011-8193
Phone (575) 522-1779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1497037402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 MALL DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118193",
            "telephone_number": "575-522-1779",
            "fax_number": "575-522-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MALL DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118193",
            "telephone_number": "575-522-1779",
            "fax_number": "575-522-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN RAY JENSEN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "575-522-1779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD3479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.