DR. MATTHEW O. JENSEN (NPI# 1982703427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982703427 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW O. JENSEN |
| Credential | DMD |
| Practice Address |
15331 W Bell Rd Ste 112 Surprise AZ 85374-4103 |
| Mailing Address |
15331 W Bell Rd Suite #112 Surprise AZ 85374 |
| Practice Telephone | 6027306481 |
| Practice Fax Number | 6027306482 |
| Mailing Telephone | 6027306481 |
| Mailing Fax Number | 6027306482 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5347421-9923 | UT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6677 W Thunderbird Rd Ste A124, Glendale, AZ 853063710 | 6232239677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063645463 | Matthew Olaf Jensen | Chiropractor | 801 S 3rd St Ste D, Renton, WA 98057-2799 | 2009-09-01 |
| 1881893527 | Matthew Charles Jensen | Chiropractor | 14 Maple St Ste 100, Gilford, NH 03249 | 2007-07-12 |
| 1790246809 | Matthew Allen Jensen | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-03-29 |
| 1295232155 | Matthew Jensen | Psychiatry & Neurology | 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2018-04-09 |
| 1801317326 | Matthew Jensen | Pharmacist | 341 State St, Madison, WI 53703-2057 | 2017-07-06 |
| 1114319381 | Matthew Allen Jensen | Pharmacist | 560 Wessel Dr, Fairfield, OH 45014-3776 | 2015-02-25 |
| 1831438787 | Matthew T Jensen | Dentist | 3501 N Scottsdale Rd, #142, Scottsdale, AZ 85251-5648 | 2013-02-12 |
| 1982662763 | Matthew Barry Jensen | Psychiatry & Neurology | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-7529 | 2006-05-02 |
| Street Address |
15331 W BELL RD STE 112 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649403775 | Tina Ptacek | Dentist | 15180 N Cotton Ln Ste 104, Surprise, AZ 85388-7000 | 2009-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| Find all providers with the same taxonomy | ||||
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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.