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1992907059 NPI number — REGINA JENSEN DDS

NPI Number: 1992907059
Health Care Provider/Practitioner: REGINA JENSEN DDS

Information about “1992907059” NPI (REGINA JENSEN DDS) exists in 1992907059 in HTML format HTML  |  1992907059 in plain Text format TXT  |  1992907059 in PDF (Portable Document Format) PDF  |  1992907059 in an XML format XML  formats.

NPI Number : 1992907059 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992907059",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JENSEN",
    "FirstName": "REGINA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3801 BEE CAVE RD",
    "SecondLineMailingAddress": "SUITE 120",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78746-2395",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-433-6633",
    "MailingAddressFaxNumber": "512-433-6634",
    "FirstLinePracticeLocationAddress": "3801 BEE CAVE RD",
    "SecondLinePracticeLocationAddress": "SUITE 120",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78746",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-433-6633",
    "PracticeLocationAddressFaxNumber": "512-433-6633",
    "EnumerationDate": "06/01/2007",
    "LastUpdateDate": "09/26/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "20584",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "55507",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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