Benjamin D Jensen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M935 Issued in SD

Practice address

2703 Fox Run Pkwy
Yankton, SD 57078-5350

Phone

(605) 665-7479

Fax

(605) 260-7410

NPI assigned

Nov 28, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Benjamin Jensen, DDS, PC

  • General Practice Dentistry
  • Yankton, SD
  • NPI 1083817498
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730255159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 FOX RUN PKWY",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785350",
            "telephone_number": "605-665-7479",
            "fax_number": "605-260-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 FOX RUN PKWY",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785350",
            "telephone_number": "605-665-7479",
            "fax_number": "605-260-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809990",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4009856",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46046145300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Rehab, Inc.
• Kellee Irvin
• Timothy Lee Irwin, M.D.
• Carroll Isburg, MD
• James D Kerr
• Maggie Suzann Jensen, LCSW, LAC
• Darcy Jilek, PHARM.D.
• Tamunoimama V John
• Andrew D Johnson
• Estelle Johnson, LPC

• General Practice Dentistry in Yankton, SD
• Providers in Yankton, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.