Individual provider Active NPI

Jonathan Steven Jessen, D.D.S.

  • Dentist
  • Oneill, NE
National Provider Identifier
1790048684
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7012 Issued in NE
Practice address
415 E Highway 20
Oneill, NE 68763-2308
Phone
(402) 750-1502
NPI assigned
Jun 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7012 NE Primary

Addresses

Primary practice location

415 E Highway 20
Oneill, NE 68763-2308

Mailing address

PO Box 815
Oneill, NE 68763-0815
Phone (402) 750-1502

Other practice location 1

104 N Thayer St
Spencer, NE 68777-3656
Phone (402) 336-4812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jessen'S Family Dentistry and Dental Hygiene, P.C Dentist Past Accepting new patients
Jessen'S Family Dentistry and Dental Hygiene, P.C Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1790048684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630815",
            "telephone_number": "402-750-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HIGHWAY 20",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687632308",
            "telephone_number": "402-750-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Thayer St",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "NE",
            "postal_code": "687773656",
            "country_code": "US",
            "telephone_number": "402-336-4812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "JONATHAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.