DR. KENNETH DEAN JENSEN (NPI# 1114351665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114351665 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DEAN JENSEN |
| Credential | D.C. |
| Practice Address |
533 S Middleton Rd Suite 102 Middleton ID 83644-6013 |
| Practice Telephone | 2085853000 |
| Practice Fax Number | 2085852222 |
| Mailing Telephone | 2085853000 |
| Mailing Fax Number | 2085852222 |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2013-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA1565 | ID | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831492503 | Kenneth Andrew Jensen | Behavioral Analyst | 7978 24th Ave N, St Petersburg, FL 33710-3737 | 2010-12-17 |
| 1467543694 | Kenneth John Jensen | Orthopaedic Surgery | 12 Camino Encinas, Suite 10, Orinda, CA 94563-3395 | 2006-09-26 |
| 1588671200 | Kenneth N Jensen | Nurse Anesthetist, Certified Registered | 400 N Pleasant, Centralia, IL 62801 | 2006-08-02 |
| 1003841784 | Kenneth F. Jensen Jr. | Internal Medicine | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2006-07-11 |
| Street Address |
533 S MIDDLETON RD SUITE 102 |
| City | MIDDLETON |
| State | ID |
| Zip Code | 83644-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497797054 | David Bruce Murri | Physical Therapist | 533 S Middleton Rd, Middleton, ID 83644-6014 | 2006-06-11 |
| 1730575648 | Jeffrey Bennett | Physical Therapist | 533 S Middleton Rd, Ste 100, Middleton, ID 83644-6013 | 2015-04-08 |
| 1720413792 | Jensen Chiropractic and Wellness Pllc | Chiropractor | 533 S Middleton Rd, Suite 102, Middleton, ID 83644-6013 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1225329287 | Denise Ann Graveline | Pharmacist | 16700 N Marketplace, Nampa, ID 83644 | 2011-04-26 |
| 1497087951 | Kriste Ann Barnes-perrin | Speech-Language Pathologist | 23 East 1st Street North, Middleton, ID 83644 | 2010-02-09 |
| 1447581665 | Tammy M Marr | Specialist/Technologist | 341 N. 4th Ave W., Middleton, ID 83644 | 2010-01-28 |
| 1902925126 | Aries J Ganir | Dentist | 1064 W. Main Street, Middleton, ID 83644 | 2007-03-28 |
| 1669556908 | Erin Keller | Nurse Practitioner | 201 S. 1st Ave. E, Middleton, ID 83644 | 2006-10-24 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1528250099 | Lee Physical Therapy, PC | Specialist | 18 E Main St, Suite 1, Middleton, ID 83644 | 2007-08-17 |
| 1124155577 | Ridleys Family Markets Inc | Pharmacy | 430 E Main St, Middleton, ID 83644-3036 | 2007-02-27 |
| 1508232703 | Lin-foo Sam Lee | Pharmacist | 430 E Main St, Middleton, ID 83644-3036 | 2015-08-11 |
| Find all providers in zip 83644 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1831350602 | Genesis Chiropractic Center, S.c. | Chiropractor | 8333 Greenway Blvd, Suite 140, Middleton, WI 53562-3684 | 2008-06-24 |
| 1235315383 | W & P Enterprises Inc | Chiropractor | 1940 Cayuga St, Middleton, WI 53562-3172 | 2008-01-18 |
| 1457532491 | Robert Daniel Zimmerman | Chiropractor | 2529 Allen Blvd, Harbor Athletic Club, Middleton, WI 53562-2211 | 2007-11-19 |
| 1942358718 | Vitality Enterprises, LLC | Chiropractor | 8434 Old Sauk Rd, Middleton, WI 53562-4367 | 2007-01-08 |
| 1558439984 | Nicole Kay Crawford Fenske | Chiropractor | 7702 Terrace Ave, Suite 2, Middleton, WI 53562-3285 | 2006-12-02 |
| 1205921400 | Brian Robert Wussow | Chiropractor | 8434 Old Sauk Rd., Middleton, WI 53562-4367 | 2006-10-04 |
| 1356434526 | Brent David Kowalke | Chiropractor | 1468 N High Point Rd, Middleton, WI 53562-3683 | 2006-10-02 |
| 1275633489 | James M Lapekas | Chiropractor | 1424 N High Point Rd, Suite 201, Middleton, WI 53562-3682 | 2006-09-25 |
| 1659476026 | Kaaren S Paras | Chiropractor | 1940 Cayuga St., Middleton, WI 53562-3172 | 2006-09-13 |
| Find all providers in MIDDLETON | ||||
Please comment or provide details below to improve the information on DR. KENNETH DEAN JENSEN.
| 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.