Mark S. Jensen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6523 Issued in KS

Practice address

8901 W 74TH St
Suite 245
Shawnee Mission, KS 66204-2238

Phone

(913) 384-2242

Fax

(913) 384-4685

NPI assigned

Dec 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mark S. Jensen, DDS, PA

  • General Practice Dentistry
  • Shawnee Mission, KS
  • NPI 1487755005
  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1912142894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "SUITE 245",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042238",
            "telephone_number": "913-384-2242",
            "fax_number": "913-384-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "SUITE 245",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042238",
            "telephone_number": "913-384-2242",
            "fax_number": "913-384-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "383189",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "17844026",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Issawi, MD
• Jay A Jackson, M.D.
• Megan Elizabeth Jackson, AGACNP-BC, APRN
• Jeremy J Jagoda, MD
• Michele Jean-Francois, MD
• William Brian Jewell, APRN
• John B. Sturgeon M.D. P.a.
• Kelli Almaria Johnson
• Jose' R. Rodriguez, D.D.S., P.a.
• Joseph B. Petelin, M.D., Chartered

• General Practice Dentistry in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.