Organization Active NPI

Joseph W Jensen, DO, PC

  • Surgery Physician
  • Layton, UT
National Provider Identifier
1871649467
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOSEPH W JENSEN, DO, PC
Practice address
1580 W Antelope Dr Ste 130B
Layton, UT 84041-1160
Phone
(801) 728-9555
Fax
(801) 728-9556
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Joseph W Jensen, DO
Title
Physician
Phone
(801) 728-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1580 W Antelope Dr Ste 130B
Layton, UT 84041-1160

Mailing address

1580 W Antelope Dr Ste 130B
Layton, UT 84041-1160
Phone (801) 728-9555

Other names 1

  • Davis Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1580 W Antelope Dr
Ste 130B
Layton, UT 84041
Phone (801) 728-9555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1871649467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 130B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-728-9555",
            "fax_number": "801-728-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 130B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-728-9555",
            "fax_number": "801-728-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W JENSEN, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-728-9555",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davis Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.