Jennifer Lee Jorgensen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002370 Issued in WI

Practice address

745 Sommers St N
Hudson, WI 54016-2314

Phone

(715) 381-9785

NPI assigned

Jul 21, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1740898212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WILSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065740",
            "telephone_number": "715-781-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SOMMERS ST N",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162314",
            "telephone_number": "715-381-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven L Johnson, DO
• Tanner Oskar Johnson, DPT
• Travis Johnson, D.C.
• Laura Lee Johnston
• Daniel Patrick Jordan
• Kristina Janine Joswiak
• Kristy Jo Kahl, M.S.
• Andrea Kane, SLP
• Trudy Kay Kapaun, REGISTERED DIETICIAN
• Sarah E Karlsson

• General Practice Dentistry in Hudson, WI
• Providers in Hudson, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.