Active NPI
Richard Howard Jenson, D.D.S
- Dentist
- Brigham City, UT
National Provider Identifier
1982620233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5132387
- Practice address
- 117 W Forest St
Brigham City, UT 84302-2013 - Phone
- (435) 723-8136
- Fax
- (435) 723-5988
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5132387 | UT | Primary |
Addresses
Primary practice location
117 W Forest St
Brigham City, UT 84302-2013
Mailing address
117 W Forest St
Brigham City, UT 84302-2013
Phone (435) 723-8136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5132387 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982620233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W FOREST ST",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843022013",
"telephone_number": "435-723-8136",
"fax_number": "435-723-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W FOREST ST",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843022013",
"telephone_number": "435-723-8136",
"fax_number": "435-723-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSON",
"first_name": "RICHARD",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "5132387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.