Active NPI
Robert Joel Jensen, MS
- Audiologist
- Mesa, AZ
National Provider Identifier
1831265602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 610
- Practice address
- 6550 E Broadway Rd
Suite 206
Mesa, AZ 85206-1732 - Phone
- (480) 981-3384
- NPI assigned
- Nov 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 610 | AZ | Primary |
Addresses
Primary practice location
6550 E Broadway Rd
Suite 206
Mesa, AZ 85206-1732
Mailing address
2222 N Val Vista Dr
#10
Mesa, AZ 85213-1734
Phone (480) 218-1373
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Audiology, LLC | Audiologist | Past | Accepting new patients |
| Maricopa Ear Nose & Throat P C | 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.
-
- Otolaryngology Physician
- Tempe, AZ
- NPI 1487793295
-
- Audiologist
- Mesa, AZ
- NPI 1124196761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831265602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 N VAL VISTA DR",
"address_2": "#10",
"city": "MESA",
"state": "AZ",
"postal_code": "852131734",
"telephone_number": "480-218-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 E BROADWAY RD",
"address_2": "SUITE 206",
"city": "MESA",
"state": "AZ",
"postal_code": "852061732",
"telephone_number": "480-981-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ROBERT",
"middle_name": "JOEL",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.