Organization Active NPI

Douglas M Jensen DDS PC

  • General Practice Dentistry
  • Longmont, CO
National Provider Identifier
1952343600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
HD100959 Issued in CO
Legal business name
DOUGLAS M JENSEN DDS PC
Practice address
1332 Linden St
Suite #2
Longmont, CO 80501-3257
Phone
(303) 772-2392
Fax
(303) 772-2438
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas M Jensen, DDSNPI 1831375807
Title
President
Phone
(303) 772-2392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X HD100959 CO Primary

Addresses

Primary practice location

1332 Linden St
Suite #2
Longmont, CO 80501-3257

Mailing address

1332 Linden St
Suite #2
Longmont, CO 80501-3257
Phone (303) 772-2392

National Provider Directory

National Provider Directory

Locations

1332 Linden St
Ste 2
Longmont, CO 80501
Phone (303) 772-2392

Practitioners & affiliated clinicians

Practitioners 2

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952343600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 LINDEN ST",
            "address_2": "SUITE #2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013257",
            "telephone_number": "303-772-2392",
            "fax_number": "303-772-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 LINDEN ST",
            "address_2": "SUITE #2",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013257",
            "telephone_number": "303-772-2392",
            "fax_number": "303-772-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS M JENSEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-772-2392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "HD100959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.