Active NPI
James D. Jensen, D.M.D.,Inc.
- Dental Clinic/Center
- Canton, OH
National Provider Identifier
1548394646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JAMES D. JENSEN, D.M.D.,INC.
- Practice address
- 4580 Stephens Cir NW
Suite 102
Canton, OH 44718-3644 - Phone
- (330) 494-6605
- Fax
- (330) 494-1224
- NPI assigned
- Mar 14, 2007
- 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. James D. Jensen, D.M.D.
- Title
- President
- Phone
- (330) 494-6605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4580 Stephens Cir NW
Suite 102
Canton, OH 44718-3644
Mailing address
4580 Stephens Cir NW
Suite 102
Canton, OH 44718-3644
Phone (330) 494-6605
National Provider Directory
National Provider DirectoryLocations
4580 Stephens Cir NW
Ste 102
Canton, OH 44718
Phone (330) 494-6605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Canton, OH
- NPI 1164436853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548394646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 STEPHENS CIR NW",
"address_2": "SUITE 102",
"city": "CANTON",
"state": "OH",
"postal_code": "447183644",
"telephone_number": "330-494-6605",
"fax_number": "330-494-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 STEPHENS CIR NW",
"address_2": "SUITE 102",
"city": "CANTON",
"state": "OH",
"postal_code": "447183644",
"telephone_number": "330-494-6605",
"fax_number": "330-494-1224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES D. JENSEN, D.M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-494-6605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.