Rosalynd L Jensen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047732 Issued in NY

Practice address

7579 Court Street
Elizabethtown, NY 12932-0355

Phone

(518) 873-3221

Fax

(518) 873-3216

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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": "1871642264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "address_2": "7579 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320355",
            "telephone_number": "518-873-3221",
            "fax_number": "518-873-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320355",
            "telephone_number": "518-873-3221",
            "fax_number": "518-873-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ROSALYND",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Mary Horizny, PT
• Sara L Hurlburt, LCSW
• Sarah Irving, PTA, LMT
• James F Jackson, PA
• Molly Jacobson, LMSW
• Shelby Lynn Jewtraw, LMSW
• Sheila Ann Kapper, RN
• Kristina Jennifer Kelly, LMHC
• Faith King
• Kaitlin Maguire Kirkby, PHARM.D

• General Practice Dentistry in Elizabethtown, NY
• Providers in Elizabethtown, NY by specialty
• General Practice Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.