James R Jensen, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JAMES R JENSEN, DDS

Doing business as

James R Jensen DDS

Practice address

300 1St Ave E
Shakopee, MN 55379-1444

Phone

(952) 426-0367

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Tonia Pass

Title

Office Manager

Phone

(952) 445-1352

Specialties & licenses 2

Addresses

Other names 1

• James R Jensen DDS Doing business as

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1619791019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791444",
            "telephone_number": "952-426-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791444",
            "telephone_number": "952-426-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R JENSEN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "PASS",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "952-445-1352"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James R Jensen DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Venkateshwaran K Iyer, MD
• Chantra-Lee Jackson
• Kaylen McNamara James Jackson, R.D., L.D., C.D.E.
• Dick Jacobson, RPH
• Hilal Abdullahi Jama
• Anne E Jeffries
• Dawn Mersch Jenkins, MD
• Andrea Kay Foleybeckwalburn Jensen, MSW, LICSW
• Gina Marie Jensen, DNP, APRN, PMHNP-BC
• Karen Jensen, MSW, LICSW

• Periodontics in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.