Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063592566 Individual Practitioner Male Practitioner

Dr. Shane Allen Jensen , DDS

Dentist - General Practice • Kearney, NE

Professional Overview & Biography Verified Profile Summary

Dr. Shane Jensen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kearney, NE. Practice services are available at 4114 4TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4114 4th Ave

Kearney, NE 688452880

Telephone 3082375166
Fax 3082374918

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kearney, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Kearney, NE (832 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 6114

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
91-1820685-00 (NE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Ronald Hendrickson , DDS

Dentist - General Practice

NPI 1447343314

Doctor of Dental Surgery

Jared Loschen

Dentist - General Practice

NPI 1518370485
NPI 1912230814

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4114 4TH AVE, KEARNEY, NE 688452880 (Tel: 3082375166)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4114 4TH AVE, KEARNEY, NE 688483048 (Tel: 3082375166)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHANE JENSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6114 in NE)

🟢
Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063592566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4114 4th Ave

Kearney, NE 688483048

Phone: 3082375166

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.