Active NPI
Keith N Jensen, DC
- Chiropractor
- Mansfield, TX
National Provider Identifier
1841349958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC7012TX
- Practice address
- 1600 Highway 287 N
Suite 102
Mansfield, TX 76063-8853 - Phone
- (817) 477-2907
- Fax
- (817) 473-3507
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC7012TX | TX | Primary |
Addresses
Primary practice location
1600 Highway 287 N
Suite 102
Mansfield, TX 76063-8853
Mailing address
1600 Highway 287 N
Suite 102
Mansfield, TX 76063-8853
Phone (817) 477-2907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G8690 | Other | TX | BLUE CROSS BLUE SHIELD TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC7012TX | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841349958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HIGHWAY 287 N",
"address_2": "SUITE 102",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638853",
"telephone_number": "817-477-2907",
"fax_number": "817-473-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HIGHWAY 287 N",
"address_2": "SUITE 102",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638853",
"telephone_number": "817-477-2907",
"fax_number": "817-473-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "KEITH",
"middle_name": "N",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC7012TX",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "8G8690",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
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.