Tony Clark Jensen, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00576 Issued in NV

Practice address

112 W Moana LN
Ste 101
Reno, NV 89509-4902

Phone

(775) 323-1222

Fax

(775) 323-7002

NPI assigned

May 18, 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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jensen Chiropractic Inc

  • Chiropractor
  • Reno, NV
  • NPI 1730365933
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1720031818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MOANA LN",
            "address_2": "STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094902",
            "telephone_number": "775-323-1222",
            "fax_number": "775-323-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MOANA LN",
            "address_2": "STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094902",
            "telephone_number": "775-323-1222",
            "fax_number": "775-323-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TONY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00576",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ryan Jensen, D.M.D.
• Kevin Charles Jensen, PA-C
• Michele Jensen
• Sheri Lynn Jensen
• Simone Jensen, FNP
• Su Hyun Jeong, MD
• Amanda Jeppesen, PHARMD
• Onna Jernigan, MD
• Jerry Matsumura MD, Inc. a Professional Corporation
• Jerry W Clark, PHD, LTD.

• Chiropractor in Reno, NV
• Providers in Reno, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.