Active NPI
James D. Jensen, D.M.D.
- Endodontics
- Canton, OH
National Provider Identifier
1548274590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30-01-4489
- Practice address
- 4580 Stephen Cir NW
Suite 102
Canton, OH 44718-3644 - Phone
- (330) 494-6605
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30-01-4489 | OH | Primary |
Addresses
Primary practice location
4580 Stephen Cir NW
Suite 102
Canton, OH 44718-3644
Mailing address
1245 7TH St NE
North Canton, OH 44720-2115
Phone (330) 499-9245
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Canton, OH
- NPI 1548394646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548274590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 7TH ST NE",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202115",
"telephone_number": "330-499-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 STEPHEN CIR NW",
"address_2": "SUITE 102",
"city": "CANTON",
"state": "OH",
"postal_code": "447183644",
"telephone_number": "330-494-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JAMES",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30-01-4489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.