B.D. Jensen Prof. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M935 Issued in SD

Legal business name

B.D. JENSEN PROF. LLC

Practice address

117 E Cherry St
Vermillion, SD 57069-2257

Phone

(605) 624-0070

Fax

(605) 624-4070

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Jensen, DDS

Title

President

Phone

(605) 665-7479

Specialties & licenses 1

Addresses

Other names 1

• Heartland Smiles Doing business as

Practitioners 2

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

• Shelby Keeton, DDS

  • General Practice Dentistry
  • Vermillion, SD
  • NPI 1750519583
  NPD (past)
• Rana Nassar, DMD

  • General Practice Dentistry
  • Murphy, TX
  • NPI 1043642929
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1821227596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HIDDEN HOLLOWS DR",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570786781",
            "telephone_number": "605-665-7479",
            "fax_number": "605-260-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692257",
            "telephone_number": "605-624-0070",
            "fax_number": "605-624-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.D. JENSEN PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-665-7479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dara Alvand, DDS
• Amanda L Anderson, CNP
• Angela Jean Anderson, OTR/L
• Vertus Anderson
• Mary Angelyn Auch, RDLN
• Bare Assets 3
• Teresa James Bellis, PH.D.
• Grace Bennett, ED.S., NCSP
• Daniel Beutler, DO
• Zachary Hunter Birchem

• General Practice Dentistry in Vermillion, SD
• Providers in Vermillion, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.