{"npi":"1184991895","type":"NPI-2","status":"active","name":{"display":"Jessen Omfs INC","other":[],"organization_name":"JESSEN OMFS INC","authorised_official":"Gregory Jessen"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"UT","license":"52199299924"}]},"addresses":[{"purpose":"LOCATION","street_1":"1508 E SKYLINE DR","city":"OGDEN","state":"UT","postal_code":"844054846","country_code":"US","street_2":"SUITE 800","phone":"8014798200","fax":"8014793219"},{"purpose":"MAILING","street_1":"1508 E SKYLINE DR","city":"OGDEN","state":"UT","postal_code":"844054846","country_code":"US","street_2":"SUITE 800","phone":"8014798200","fax":"8014793219"}],"license":{"state":"UT","number":"52199299924"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120305000634","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"4082873435"}]},"enumeration_date":"2011-11-23","last_updated":"2023-10-17","_meta":{"source":"NPPES","snapshot_date":"2023-10-17","doc_url":"https://findmynpi.com/api"}}