Peter Christopher Jessen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4320 Issued in NE

Practice address

5404 Ames Avenue
Omaha, NE 68104-2884

Phone

(402) 451-3126

Fax

(402) 453-6147

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700946464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 AMES AVENUE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042884",
            "telephone_number": "402-451-3126",
            "fax_number": "402-453-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 AMES AVENUE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042884",
            "telephone_number": "402-451-3126",
            "fax_number": "402-453-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "4320",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47056311300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Renee Jessen Buetow, RN
• Blake T. Jessen, MPT
• Carissa J. Jessen, P.A.
• Julie L Jessen, MPT
• Mariah Jessen
• Jessica M Bentzen Professional Services LLC
• Jessica Marie
• Jessie Gutierrez Clinical Therapy Services
• Barbara Eileen Jessing, LMHP, LMFT, LPC
• Phillip Matthew Jessop

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.