Larry D Jensen Dpm PC
Larry D Jensen Dpm PC is a healthcare organization registered as Foot Surgery Podiatrist in Tigard, OR, holding Type 2 (organization) NPI 1083991400 since 2011. The authorized official on file is Larry Jensen, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083991400 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry D Jensen Dpm PC |
| Practice address | 11815 SW KING JAMES PL, SUITE 60, Tigard, OR, 97224 |
| Phone | 5036398107 |
| Fax | 5036398108 |
| Enumeration date | 2011-11-14 |
| Last updated in NPPES | 2012-05-04 |
Authorized official
| Name | Larry Jensen |
|---|---|
| Title | President |
| Phone | 5036398107 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0131X | Foot Surgery Podiatrist | Primary | DP00199 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500642371 | Medicaid | OR | — |
Copy-ready billing details
Provider: Larry D Jensen Dpm PC NPI: 1083991400 Taxonomy: 213ES0131X (Foot Surgery Podiatrist) Address: 11815 SW KING JAMES PL, SUITE 60, Tigard, OR, 97224
Verify this record
Cross-check NPI 1083991400 against the authoritative CMS record: view Larry D Jensen Dpm PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Larry D Jensen Dpm PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-04.