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Export Provider Record NPI 1053495614
Alan D JensenMD
Active
NPI Number1053495614
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1053495614
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-24
Last Updated2010-06-28
Mailing Address8761 West Center Rd, Suite B
Omaha, NE 68124-2109
United States
Phone: (402) 397-6060 | Fax: (402) 398-0336
📍 View Map
Primary Practice Address8761 West Center Rd, Suite B
Omaha, NE 68124-2109
United States
Phone: (402) 397-6060 | Fax: (402) 398-0336
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineNE17820
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About NPI 1053495614

Alan D Jensen MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053495614. The primary specialty listed is Internal Medicine. The provider is located in Omaha, NE. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053495614?

NPI 1053495614 belongs to Alan D Jensen MD, a Internal Medicine in Omaha, NE. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053495614 active?

The current status of NPI 1053495614 in the NPPES registry is Active. The record was last updated on 2010-06-28.

What specialty is NPI 1053495614?

NPI 1053495614 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053495614?

You can verify NPI 1053495614 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053495614?

The primary practice address on file for NPI 1053495614 is 8761 West Center Rd, Omaha, NE 68124-2109. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053495614 issued?

NPI 1053495614 was first issued (enumerated) on 2006-10-24. The NPPES record was last updated on 2010-06-28.

Practice Location Map

Alan D Jensen is located at 8761 West Center Rd, Omaha, NE. Use the map below to find directions or verify the practice location.

📍 8761 West Center Rd, Omaha, NE 68124-2109  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Alan D Jensen. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053495614. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine17820NE
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162