DR. KRAIG KRUEGER JENSON (NPI# 1922099324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922099324 |
| Entity Type | Individual |
| Full Name | DR. KRAIG KRUEGER JENSON |
| Credential | M.D. |
| Practice Address |
1385 E 750 N Orem UT 84097-5480 |
| Mailing Address |
3408 N Cottonwood Ln Provo UT 84604-7402 |
| Practice Telephone | 8012245200 |
| Practice Fax Number | 8012242667 |
| Mailing Telephone | 8013734854 |
| Mailing Fax Number | 8012242667 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 164938-1205 | UT | Other Service Providers |
| Street Address |
1385 E 750 N |
| City | OREM |
| State | UT |
| Zip Code | 84097-5480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417331869 | Devin Burr | Dermatology | 1385 E 750 N, Orem, UT 84097-5480 | 2015-07-15 |
| 1831338029 | Warren A Peterson, D.o. | Dermatology | 1385 E 750 N, Orem, UT 84097-5480 | 2009-02-11 |
| 1902951130 | Kraig Jenson PC | Specialist | 1385 E 750 N, Orem, UT 84097-5480 | 2007-01-25 |
| 1902887193 | Byron Clyde Edwards | Physician Assistant | 1385 E 750 N, Orem, UT 84097-5480 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861813677 | Kerstine Hart | Specialist | 1379 S 740 E, Orem, UT 84097-8083 | 2013-12-20 |
| 1104983824 | Steven Little Merrill | Specialist | 421 N. Orem Blvd, Orem, UT 84057 | 2007-01-02 |
| 1649204033 | Henry Moyle Yeates | Specialist | 159 N 400 W, Suite B-8, Orem, UT 84057-1909 | 2006-07-10 |
| 1215904164 | Douglas W Hacking | Specialist | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-02-28 |
| 1699215681 | Dave Ottesen | Specialist | 1875 S Geneva Rd, Orem, UT 84058 | 2017-02-24 |
| 1902951130 | Kraig Jenson PC | Specialist | 1385 E 750 N, Orem, UT 84097-5480 | 2007-01-25 |
| 1467532937 | Jon B Bishop Mdpc | Specialist | 700 W 800 N, Suite 442, Orem, UT 84057-6301 | 2006-10-17 |
| 1093761595 | Blair F Mcgirk | Specialist | 750 W 800 N, Orem, UT 84057-3660 | 2006-05-26 |
| 1134196900 | Daniel G Simmons | Specialist | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-03-01 |
| 1013915867 | Eyre Dermatology Clinic, P.C. | Specialist | 486 W 800 N, Suite 201, Orem, UT 84057-3728 | 2005-07-13 |
| Find all providers in OREM | ||||
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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.