DR. PHLLIP M. JENSEN D.M.D.
NPI 1699892042
Dentist - Oral and Maxillofacial Surgery in Springfield, IL

Q: What is Phllip Jensen's NPI number?

The NPI number for Phllip Jensen is 1699892042. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Phllip Jensen's specialty?

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

Q: Is Phllip Jensen enrolled in Medicare?

No. Phllip Jensen has opted out of Medicare through April 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Phllip Jensen was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 22, 2007Opted out of Medicare · through Apr 23, 2027

2606 MARKETPLACE DR, SPRINGFIELD, IL 62702(217) 753-8690 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Phllip M. Jensen D.m.d. NPPES

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

DR. PHLLIP M. JENSEN D.M.D. (NPI 1699892042) is an individual oral and maxillofacial surgery provider in Springfield, Illinois, licensed in Illinois (019-020843) and active in the NPI registry since March 2007. He has opted out of Medicare through April 23, 2027.

NPPES Registry Identity

NPI1699892042

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. PHLLIP M. JENSENCredential: D.M.D.

Location Address2606 MARKETPLACE DRSpringfield, IL 62702-1467

Mailing Address2606 Marketplace DrSpringfield, IL 62702-1467 · (217) 753-8690

Phone(217) 753-8690

Sole ProprietorNo

Enumeration DateMarch 22, 2007

Last NPPES UpdateMarch 21, 2012

✔ NPI 1699892042 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 IL · 019-020843

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.

2606 MARKETPLACE DR, Springfield, IL 62702

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Other Identifiers 6

Other442331IL · United Concordia

Other033519IL · Health Alliance

Medicaid019020843IL

Medicare UPINU43366IL

Medicare ID-Type Unspecified475820IL

Other31898 33225IL · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Phllip M. Jensen D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2015 through April 23, 2027.

Opt-Out Effective DateApril 23, 2015

Opt-Out In Effect ThroughApril 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

PHILLIP M. JENSEN, D.M.D., P.C.

Dentist (Oral and Maxillofacial Surgery)

2606 MARKETPLACE DR
SPRINGFIELD, IL 62702

Sangamon County (217) 753-8690

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 Phllip Jensen's NPI number?

The NPI number for Phllip Jensen is 1699892042. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Phllip Jensen located?

Phllip Jensen practices at 2606 Marketplace Dr, Springfield, IL 62702. The listed phone number is (217) 753-8690.

What is Phllip Jensen's specialty?

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

Is Phllip Jensen enrolled in Medicare?

No. Phllip Jensen has opted out of Medicare through April 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Phllip Jensen was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.