Jay Jerald Jensen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25034 Issued in TX

Practice address

209 Denali Pass
Suite B
Cedar Park, TX 78613-7500

Phone

(512) 782-0821

Fax

(866) 217-8281

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Tiffany Simon Kondoff, DDS, PLLC

  dba Cedar Park Premier Dentistry

  • Dental Clinic/Center
  • Cedar Park, TX
  • NPI 1922870690
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1962547125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DENALI PASS",
            "address_2": "SUITE B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137500",
            "telephone_number": "512-782-0821",
            "fax_number": "866-217-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DENALI PASS",
            "address_2": "SUITE B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137500",
            "telephone_number": "512-782-0821",
            "fax_number": "866-217-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JAY",
        "middle_name": "JERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7847",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Fallon Jeffrey, PA-C
• Lindsay Jenkins, LMFT
• Jennifer Martinez Child and Adolescent Counseling PLLC (Monarch Child and Adolescent Counseling)
• Jennifer Meadows, MD, PA
• Skyler Jennings, DC
• Joseph Jeskie, OD
• Daniel Suku Jezreel, PT
• Maria Jimenez
• Neryth D Jimenez, M.ED.
• Oligario Jimenez

• General Practice Dentistry in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.