Active NPI
David S Jenson DPM PA
- Podiatrist
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1637
- Legal business name
- DAVID S JENSON DPM PA
- Practice address
- 134 Vision Park Blvd Ste 120
Shenandoah, TX 77384-3030 - Phone
- (936) 273-6000
- Fax
- (936) 273-6022
- NPI assigned
- May 19, 2006
- Reactivated
- Oct 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David S Jenson, DPM
- Title
- Physician
- Phone
- (936) 273-6000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1637 | TX | Primary |
Addresses
Primary practice location
134 Vision Park Blvd Ste 120
Shenandoah, TX 77384-3030
Mailing address
PO Box 8136
The Woodlands, TX 77387-8136
Phone (936) 273-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE7220 | Other | TX | RAIL ROAD MEDICARE GROUP # |
| 0037MG | Other | TX | GROUP BCBS NUMBER |
| 176060503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
134 Vision Park Blvd
Ste 120
Shenandoah, TX 77384
Phone (936) 273-6000
111 Vision Park Blvd
Ste 240
Shenandoah, TX 77384
Phone (832) 264-1953
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Shenandoah, TX
- NPI 1629046669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1497708408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8136",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773878136",
"telephone_number": "936-273-6000",
"fax_number": "936-273-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 VISION PARK BLVD STE 120",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843030",
"telephone_number": "936-273-6000",
"fax_number": "936-273-6022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID S JENSON DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"deactivation_date": "2025-09-12",
"reactivation_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "936-273-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "1637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE GROUP #",
"identifier": "DE7220",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS NUMBER",
"identifier": "0037MG",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176060503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.