Dr. Colleen Jenson, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. COLLEEN JENSON, LLC

Practice address

1155 Kelly Johnson Blvd Ste 210
Colorado Springs, CO 80920-3958

Phone

(719) 532-1007

NPI assigned

Aug 12, 2019

Organization subpart

Yes

Parent organization

DR. COLLEEN JENSON, LLC/DBA GRACE DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Colleen Jenson, DMDNPI 1841304425

Title

Owner

Phone

(719) 532-1007

Specialties & licenses 1

Addresses

Other names 1

• Grace Dental Doing business as

Part of

Dr Colleen Jenson LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen S Jenson, DMD

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1841304425
  NPD Authorized official
• Scott Allan Draper, D.D.S., M.S.

  • Prosthodontics
  • Colorado Springs, CO
  • NPI 1124111406
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1750937124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CASPIAN CT E",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801322844",
            "telephone_number": "719-650-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203958",
            "telephone_number": "719-532-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. COLLEEN JENSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. COLLEEN JENSON, LLC/DBA GRACE DENTAL",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "JENSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-532-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.