Active NPI
Gay M. Jensen, RDH
- Dental Hygienist
- Olympia, WA
National Provider Identifier
1528108909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH20000537
- Practice address
- 3430 Pacific Ave SE Ste A6 PMB 170
Olympia, WA 98501-2177 - Phone
- (360) 791-9969
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH20000537 | WA | Primary |
Addresses
Primary practice location
3430 Pacific Ave SE Ste A6 PMB 170
Olympia, WA 98501-2177
Mailing address
3430 Pacific Ave SE Ste A6 PMB 170
Olympia, WA 98501-2177
Phone (360) 791-9969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1738790 | Other | WA | UNITED CONCORDIA |
| 5900287 | Medicaid | WA |
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 |
|---|---|---|---|
| DH20000537 | WA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gay M Jensen, RDH, PLLC | Dental Hygienist | Current | Accepting new patients |
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": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528108909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 PACIFIC AVE SE STE A6 PMB 170",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012177",
"telephone_number": "360-791-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 PACIFIC AVE SE STE A6 PMB 170",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012177",
"telephone_number": "360-791-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "GAY",
"middle_name": "M.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH20000537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1738790",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900287",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.