Ole T Jensen, D.D.S.,M.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

104736 Issued in UT

Practice address

8200 E Belleview Ave
#520E
Greenwood Village, CO 80111-2803

Phone

(303) 388-0303

Fax

(303) 322-7326

NPI assigned

Jul 22, 2005

Reactivated

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1821098682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "#520E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-388-0303",
            "fax_number": "303-322-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "#520E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-388-0303",
            "fax_number": "303-322-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "OLE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2016-06-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "UT",
            "license": "104736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Niemann Jauch, CRNA
• Faisal Javaid
• Rhonda Detert Jeffries, MD
• Olivia Jellison, CCC-SLP
• Kathryn S. Jens, PH.D.
• Peggy Jensen, PTA
• Yan Ji, L.AC.
• Yongmei Jiang, M.D.
• Cameron Jilovec, RN
• Lauren Jimenez, MS, CGC

• Oral and Maxillofacial Pathology Dentistry in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Oral and Maxillofacial Pathology Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.