DR. RICHARD EDMUND JENSEN (NPI# 1275741019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275741019 |
Entity Type | Individual |
Full Name | DR. RICHARD EDMUND JENSEN |
Credential | D.D.S. |
Practice Address |
2460 Finger Rd Green Bay WI 54302-4210 |
Practice Telephone | 9204698484 |
Practice Fax Number | 9204698486 |
Mailing Telephone | 9204698484 |
Mailing Fax Number | 9204698486 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2538 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33421000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700108669 | Richard Andreas Jensen | Preventive Medicine | 204 Via Ithaca, Newport Beach, CA 92663-4908 | 2010-02-19 |
1356419550 | Richard Bruce Jensen | Optometrist | 414 Garden St, Titusville, FL 32796-2848 | 2006-12-04 |
1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
1083671408 | Richard A Jensen | Internal Medicine | 2333 W 57th St Ste 101, Sioux Falls, SD 57108-5054 | 2006-04-28 |
1386940229 | Richard Andrew Jensen | Counselor | 14277 Road 28, Madera, CA 93638-5715 | 2011-02-09 |
1801104740 | Richard Scott Jensen | Chiropractor | 237 N Bluff St, Suite A, St George, UT 84770-4543 | 2010-09-14 |
1427298975 | Richard Clayne Jensen | Anesthesiology | 707 Sw Washington St, Suite 700, Portland, OR 97205-3536 | 2009-02-24 |
1922156496 | Richard W Jensen | Chiropractor | 520 Highway 96 W, Ste 200, Shoreview, MN 55126-1962 | 2007-01-08 |
1447313234 | Richard A Jensen | Optometrist | 1100 9th Ave, Ms C4-opt, Seattle, WA 98101-2756 | 2006-12-19 |
1811077498 | Richard Jensen | Podiatrist | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-10-17 |
Street Address |
2460 FINGER RD |
City | GREEN BAY |
State | WI |
Zip Code | 54302-4210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720198898 | Bay Dental Associates of Green Bay, Inc. | Dentist | 2460 Finger Rd, Green Bay, WI 54302-4210 | 2006-08-30 |
1487215422 | Matthew Thomas Smilanich | Dentist | 2460 Finger Rd, Green Bay, WI 54302-4210 | 2019-06-20 |
1710416607 | Joseph Roznik | Dentist | 2460 Finger Rd, Green Bay, WI 54302-4210 | 2017-06-05 |
1548384548 | Thomas John Nockerts | Dentist | 2460 Finger Rd, Green Bay, WI 54302-4210 | 2007-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
Find all providers in zip 54302 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1588197149 | Familia Dental West Green Bay | Dentist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2017-04-10 |
1225489974 | Nicholas Van Ess | Dentist | 1640 Main St Stop 1, Green Bay, WI 54302-2639 | 2016-06-23 |
1063822328 | Jessica Leigh Pasono | Dentist | 2609 Development Dr, Green Bay, WI 54311 | 2014-05-07 |
1063622645 | Echo Ridge Dental Clinic | Dentist | 2140 S. Ridge Rd., Green Bay, WI 54304 | 2007-05-23 |
1710191085 | Lisa Rachel Piontek | Dentist | 526 S Monroe Ave, Green Bay, WI 54301-4018 | 2007-05-09 |
1831301290 | Family Dental Center of Green Bay, S.c. | Dentist | 2247 Fox Heights Ln, Green Bay, WI 54304-4747 | 2007-05-05 |
1194946079 | Kirk Richard Fishbaugh | Dentist | 2625 Tulip Ln, Green Bay, WI 54313-6855 | 2007-05-01 |
Find all providers in GREEN BAY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.