Active NPI
Regina Jensen, DDS
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1992907059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 20584
- Practice address
- 3801 Bee Cave Rd
Suite 120
Austin, TX 78746 - Phone
- (512) 433-6633
- Fax
- (512) 433-6633
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 20584 | TX | Primary |
| Pediatric Dentistry | 1223P0221X | 55507 | CA |
Addresses
Primary practice location
3801 Bee Cave Rd
Suite 120
Austin, TX 78746
Mailing address
3801 Bee Cave Rd
Suite 120
Austin, TX 78746-2395
Phone (512) 433-6633
Other practice location 1
1310 RR 620 S
suite B8
Lakeway, TX 78734-6300
Phone (512) 263-7455
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 |
|---|---|---|---|
| 55507 | CA | MD | Pediatric Dentist |
| 20584 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1992907059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 BEE CAVE RD",
"address_2": "SUITE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787462395",
"telephone_number": "512-433-6633",
"fax_number": "512-433-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 BEE CAVE RD",
"address_2": "SUITE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-433-6633",
"fax_number": "512-433-6633"
}
],
"practiceLocations": [
{
"address_1": "1310 RR 620 S",
"address_2": "suite B8",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "787346300",
"country_code": "US",
"telephone_number": "512-263-7455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "20584",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "55507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.