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DR. PEDER J JENSEN D.M.D.
NPI 1407907165
Dentist - Periodontics in North Little Rock, AR

Active since January 16, 2007PECOS Enrolled
2501 CRESTWOOD RD STE 102, NORTH LITTLE ROCK, AR 72116(501) 758-6182(501) 758-6184 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peder J Jensen D.m.d. NPPES

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

DR. PEDER J JENSEN D.M.D. (NPI 1407907165) is an individual periodontics provider in North Little Rock, Arkansas, licensed in Arkansas (2544) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407907165
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PEDER J JENSENCredential: D.M.D.
Location Address2501 CRESTWOOD RD STE 102North Little Rock, AR 72116-7615
Mailing Address2501 Crestwood Rd Ste 102North Little Rock, AR 72116-7615 · (501) 758-6182 · Fax (501) 758-6184
Phone(501) 758-6182
Fax(501) 758-6184
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407907165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AR · 2544
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2501 CRESTWOOD RD STE 102, North Little Rock, AR 72116
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Other Identifiers 1

Other2544AR · Arkansas Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Peder J Jensen D.m.d. 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 72116 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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 Peder Jensen's NPI number?

The NPI number for Peder Jensen is 1407907165. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Peder Jensen located?

Peder Jensen practices at 2501 Crestwood Rd Ste 102, North Little Rock, AR 72116. The listed phone number is (501) 758-6182.

What is Peder Jensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Peder Jensen enrolled in Medicare?

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

What insurance does Peder Jensen accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Peder Jensen 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 Peder Jensen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.