Joseph Dean Jensen, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

266561-1205 Issued in UT

Practice address

7396 Union Park Ave
201
Midvale, UT 84047-6700

Phone

(801) 567-1400

Fax

(801) 567-1777

NPI assigned

Aug 2, 2005

Reactivated

Mar 29, 2006

Last updated

Jul 30, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Utah School of Medicine, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Dermatology Center of Salt Lake Inc.Group PAC ID 7810903259, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: joseph.jensen.1@20766.direct.athenahealth.com

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

• Dermatology Center of Salt Lake Inc.

  • Specialist
  • Midvale, UT
  • NPI 1689635799
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1740281500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7396 UNION PARK AVE",
            "address_2": "201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476700",
            "telephone_number": "801-567-1400",
            "fax_number": "801-567-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7396 UNION PARK AVE",
            "address_2": "201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476700",
            "telephone_number": "801-567-1400",
            "fax_number": "801-567-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JOSEPH",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-07-30",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "266561-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janus RX LLC
• Jenco Medical, Inc. (Utah Prosthetics and Orthotics)
• Jenco Prosthetics & Orthotics, LLC
• McKenzi Jean Jenkins
• Jennifer Fairbourn LMFT, LLC (Cottonwood Creek Counseling)
• Krystynna Jensen
• Sarah Rebecca Jensen, LMT, MMP
• Wade Jensen
• Aubrey Anne Jenson, COTA
• Isabella Jenson, OD

• Specialist in Midvale, UT
• Providers in Midvale, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.
• 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.