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JESSEN OMFS INC
NPI 1184991895
Dentist - Oral and Maxillofacial Surgery in Ogden, UT

Active since November 23, 2011
1508 E SKYLINE DR, SUITE 800, OGDEN, UT 84405(801) 479-8200(801) 479-3219 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessen Omfs Inc NPPES

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

JESSEN OMFS INC (NPI 1184991895) is a healthcare organization registered as an oral and maxillofacial surgery in Ogden, Utah and active in the NPI registry since November 2011. The organization lists Gregory Shane Jessen, Owner, as its authorized official.

NPPES Registry Identity

NPI1184991895
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJESSEN OMFS INC
Location Address1508 E SKYLINE DR, SUITE 800Ogden, UT 84405-4846
Mailing Address1508 E Skyline Dr, Suite 800Ogden, UT 84405-4846 · (801) 479-8200 · Fax (801) 479-3219
Phone(801) 479-8200
Fax(801) 479-3219
Organization SubpartNo
Authorized OfficialGregory Shane JessenOwner · (801) 479-8200
Enumeration DateNovember 23, 2011
Last NPPES UpdateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1184991895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in UT · 52199299924
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1508 E SKYLINE DR, Ogden, UT 84405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessen Omfs Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20120305000634Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jessen Omfs Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Jessen, DDS
Maxillofacial Surgery
NPI 1548349251
1508 E SKYLINE DR STE 800
Ogden, UT 84405
(801) 479-8200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jessen Omfs Inc's NPI number?

The NPI number for Jessen Omfs Inc is 1184991895. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Jessen Omfs Inc located?

Jessen Omfs Inc is located at 1508 E Skyline Dr Suite 800, Ogden, UT 84405. The listed phone number is (801) 479-8200.

What is Jessen Omfs Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jessen Omfs Inc enrolled in Medicare?

Yes. Jessen Omfs Inc is registered in the Medicare PECOS enrollment system.

When is Jessen Omfs Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jessen Omfs Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Jessen Omfs Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jessen Omfs Inc accept?

Health plans from UnitedHealthcare list Jessen Omfs Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessen Omfs Inc was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.