DR. KURT FREDRIC JENSEN (NPI# 1598805822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598805822 |
| Entity Type | Individual |
| Full Name | DR. KURT FREDRIC JENSEN |
| Credential | D.D.S. |
| Practice Address |
6050 Brynwood Dr Ste 102 Rockford IL 61114-6579 |
| Practice Telephone | 8158770694 |
| Practice Fax Number | 8158774254 |
| Mailing Telephone | 8158770694 |
| Mailing Fax Number | 8158774254 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272788 | Kurt Jensen | Psychologist | 2966 Eaton Rd, Shaker Heights, OH 44122-2516 | 2007-04-09 |
| 1578752978 | Kurt Warren Jensen | Internal Medicine | 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307 | 2007-10-22 |
| Street Address |
6050 BRYNWOOD DR STE 102 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-6579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700982378 | Timothy Allen Theisen | Dentist | 6050 Brynwood Dr, Suite 201, Rockford, IL 61114-6579 | 2006-09-15 |
| 1295951317 | Thomas Allen Daniels | Dentist | 6050 Brynwood Dr, Suite 201, Rockford, IL 61114-6579 | 2007-04-17 |
| 1700955606 | William G Shold | Dentist | 6050 Brynwood Dr, Suite 205, Rockford, IL 61114-6579 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1003977224 | Edward Paul Rentschler | Dentist | 449 Roxbury Road, Rockford, IL 61107 | 2006-12-12 |
| 1346318532 | Michael Degould Dds PC | Dentist | 2835 Mcfarland Road, Suite C, Rockford, IL 61107 | 2006-12-04 |
| 1134127491 | David A. Francis Iv | Dentist | 4035 Morsay Dr, Rockford, IL 61107-4871 | 2005-07-11 |
| 1225574775 | Swedishamerican Hospital | Dentist | 425 Roxbury Rd, Rockford, IL 61107 | 2017-01-09 |
| 1245673441 | Michael David Degould | Dentist | 2835 Mcfarland Rd, Suite C, Rockford, IL 61107-6819 | 2013-04-08 |
| 1538394580 | Matthew James Bruksch | Dentist | 449 Roxbury Road, Rockford, IL 61107 | 2009-05-20 |
| 1992975551 | Edward P. Rentschler Dds, PC | Dentist | 425 Roxbury Rd, Rockford, IL 61107-5075 | 2008-03-10 |
| 1326193061 | Swedishamerican Hospital | Dentist | 1401 E State St, Rockford, IL 61104 | 2007-01-24 |
| Find all providers in ROCKFORD | ||||
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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.