Active NPI
Jeffery Scott Jensen, D.D.S.
- Periodontics
- Lincoln, NE
National Provider Identifier
1962836791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 116
- Practice address
- 40TH and Holdrege
Unmc College of Dentistry
Lincoln, NE 68583-0740 - Phone
- (402) 472-1301
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 116 | NE | Primary |
Addresses
Primary practice location
40TH and Holdrege
Unmc College of Dentistry
Lincoln, NE 68583-0740
Mailing address
40TH and Holdrege
Unmc College of Dentistry
Lincoln, NE 68583-0740
Phone (402) 472-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307001329 | UT | Order and Referring Only - Other (Non-Physician) | 4587948732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1962836791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40TH AND HOLDREGE",
"address_2": "UNMC COLLEGE OF DENTISTRY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40TH AND HOLDREGE",
"address_2": "UNMC COLLEGE OF DENTISTRY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JEFFERY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NE",
"license": "116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.