DR. RICHARD EDMUND JENSEN D.D.S.
NPI 1275741019
Dentist - General Practice in Green Bay, WI

Active since May 17, 2007PECOS Enrolled
2460 FINGER RD, GREEN BAY, WI 54302(920) 469-8484(920) 469-8486 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Edmund Jensen D.d.s. NPPES

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

DR. RICHARD EDMUND JENSEN D.D.S. (NPI 1275741019) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (2538) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275741019
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD EDMUND JENSENCredential: D.D.S.
Location Address2460 FINGER RDGreen Bay, WI 54302-4210
Mailing Address2460 Finger RdGreen Bay, WI 54302-4210 · (920) 469-8484 · Fax (920) 469-8486
Fax(920) 469-8486
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1275741019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 2538
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.
2460 FINGER RD, Green Bay, WI 54302

Other Identifiers 1

Medicaid33421000WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard Edmund Jensen D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Dentist
2460 FINGER RD
GREEN BAY, WI 54302
Dentist
2460 FINGER RD
GREEN BAY, WI 54302
Dentist
2460 FINGER RD
GREEN BAY, WI 54302
Dentist (General Practice)
2460 FINGER RD
GREEN BAY, WI 54302

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 Richard Jensen's NPI number?

The NPI number for Richard Jensen is 1275741019. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Richard Jensen located?

Richard Jensen practices at 2460 Finger Rd, Green Bay, WI 54302. The listed phone number is (920) 469-8484.

What is Richard Jensen's specialty?

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

Is Richard Jensen enrolled in Medicare?

Yes. Richard Jensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Jensen was last updated on July 9, 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.