MR. SHANE ALLEN JENSEN DDS
NPI 1063592566
Dentist - General Practice in Kearney, NE

Q: What is Shane Jensen's NPI number?

The NPI number for Shane Jensen is 1063592566. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Shane Jensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shane Jensen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006

4114 4TH AVE, KEARNEY, NE 68845(308) 237-5166(308) 237-4918 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Shane Allen Jensen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE ALLEN JENSEN DDS (NPI 1063592566) is an individual general practice provider in Kearney, Nebraska, licensed in Nebraska (6114) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063592566

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. SHANE ALLEN JENSENCredential: DDS

Location Address4114 4TH AVEKearney, NE 68845-2880

Mailing Address4114 4th AveKearney, NE 68848-3048 · (308) 237-5166 · Fax (308) 237-4918

Phone(308) 237-5166

Fax(308) 237-4918

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063592566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 6114

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4114 4TH AVE, Kearney, NE 68845

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Other Identifiers 1

Medicaid91-1820685-00NE

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED LOSCHEN

Dentist (General Practice)

4114 4TH AVE
KEARNEY, NE 68845

Buffalo County (308) 237-5166

TINA BARGER DDS

Dentist

4114 4TH AVE
KEARNEY, NE 68845

Buffalo County (308) 237-5166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Jensen's NPI number?

The NPI number for Shane Jensen is 1063592566. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Shane Jensen located?

Shane Jensen practices at 4114 4th Ave, Kearney, NE 68845. The listed phone number is (308) 237-5166.

What is Shane Jensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shane Jensen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.