NPIMap

Organization Active NPI

Shawn D Jensen DDS,PA

  • Dental Clinic/Center
  • Hutchinson, KS
National Provider Identifier
1750574042
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6969 Issued in KS
Legal business name
SHAWN D JENSEN DDS,PA
Practice address
4 Compound Dr
Hutchinson, KS 67502-4300
Phone
(620) 663-1788
Fax
(620) 663-4380
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Dr. Shawn D Jensen, DDSNPI 1093801086
Title
Dentist
Phone
(620) 663-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6969 KS Primary

Addresses

Primary practice location

4 Compound Dr
Hutchinson, KS 67502-4300

Mailing address

4 Compound Dr
Hutchinson, KS 67502-4300
Phone (620) 663-1788

National Provider Directory

National Provider Directory

Locations

4 Compound Dr
Hutchinson, KS 67502
Phone (620) 663-1788

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1750574042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COMPOUND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024300",
            "telephone_number": "620-663-1788",
            "fax_number": "620-663-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COMPOUND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024300",
            "telephone_number": "620-663-1788",
            "fax_number": "620-663-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN D JENSEN DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "620-663-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.