Organization Active NPI

Alan D Jensen MD P C

  • Clinic/Center
  • Omaha, NE
National Provider Identifier
1649614389
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
17820 Issued in NE
Legal business name
ALAN D JENSEN MD P C
Doing business as
Jensen Clinic, PC
Practice address
8761 W Center Rd Ste B
Omaha, NE 68124-2166
Phone
(402) 397-6060
Fax
(402) 398-0336
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. Alan Dean Jensen, MDNPI 1053495614
Title
Preident
Phone
(402) 397-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 17820 NE Primary

Addresses

Primary practice location

8761 W Center Rd Ste B
Omaha, NE 68124-2166

Mailing address

8761 W Center Rd Ste B
Omaha, NE 68124-2166
Phone (402) 397-6060

Other names 1

  • Jensen Clinic, PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130523000222 NE Part B Supplier - Clinic/Group Practice 3375781826 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0969923Jensen Clinic, PC8761 West Center Road, Suite B, Omaha, NE 68124Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

8761 W Center Rd
Ste B
Omaha, NE 68124
Phone (402) 397-6060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7530/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1649614389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 W CENTER RD STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242166",
            "telephone_number": "402-397-6060",
            "fax_number": "402-398-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 W CENTER RD STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242166",
            "telephone_number": "402-397-6060",
            "fax_number": "402-398-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D JENSEN MD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "402-397-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "17820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jensen Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.