Martin Oleen Jensen, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

119 E Arcadia Ave BLDG 622
27 Special Operations Support SQDN/Osm
Cannon Afb, NM 88103-5112

Phone

(575) 784-0287

NPI assigned

Apr 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1598909012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E ARCADIA AVE BLDG 622",
            "address_2": "27 SPECIAL OPERATIONS SUPPORT SQDN/OSM",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035112",
            "telephone_number": "575-784-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E ARCADIA AVE BLDG 622",
            "address_2": "27 SPECIAL OPERATIONS SUPPORT SQDN/OSM",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035112",
            "telephone_number": "575-784-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARTIN",
        "middle_name": "OLEEN",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Hicks, ATC, CSCS
• Deryck K Hill, RPH
• Rebekah Honea
• Daniel Hurtt, MD
• Jose R Jasso Jr., MSW
• Jeremiah Edwin Johnson, R.D. MPH
• Griffon Jones, DPT
• Logan D Jones, D.O.
• Becky L Kaime, RPH
• Brandi Konieczynski

• Independent Duty Medical Technicians in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Independent Duty Medical Technicians in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.