Active NPI
Byron Kent Jensen
- Developmentally Disabled Services Day Training Agency
- Tremonton, UT
National Provider Identifier
1841643087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 9-723180-0
- Practice address
- 137 W Main St
Tremonton, UT 84337-1629 - Phone
- (435) 279-4980
- Fax
- (435) 921-0801
- NPI assigned
- Jul 22, 2016
- Last updated
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 9-723180-0 | UT | Primary |
Addresses
Primary practice location
137 W Main St
Tremonton, UT 84337-1629
Mailing address
137 W Main St
Tremonton, UT 84337-1629
Phone (435) 279-4980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9-723180-0 | Medicaid | UT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9-723180-0 | UT | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1841643087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 W MAIN ST",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843371629",
"telephone_number": "435-279-4980",
"fax_number": "435-921-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 W MAIN ST",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843371629",
"telephone_number": "435-279-4980",
"fax_number": "435-921-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "BYRON",
"middle_name": "KENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "UT",
"license": "9-723180-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9-723180-0",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tremonton, UT
- Ihc Health Services Inc (Bear River Valley Hospital Physicians)
- Ihc Health Services Inc (Intermountain Health Bear River Valley Hospital)
- Ihc Health Services Inc (Bear River ED Physicians)
- Terri Denise Iman-Miles, LCSW
- Daniel Wayne Jeffrey, PA
- JM Gauruder LLC (Tremonton Chiropractic)
- David Vere Johnson, MD
- Joshua Adam Johnson
- Patrick Johnson, DPT
- Kay B. Christensen,DDS,PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.