Individual provider Active NPI

Ashley E Sorenson, D.D.S

  • Dentist
  • Reedsburg, WI
National Provider Identifier
1033451422
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7109-15 Issued in WI
Practice address
764 Crestview Dr
Reedsburg, WI 53959-2581
Phone
(608) 524-4213
NPI assigned
Mar 23, 2013
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7109-15 WI Primary

Addresses

Primary practice location

764 Crestview Dr
Reedsburg, WI 53959-2581

Mailing address

764 Crestview Dr
Reedsburg, WI 53959-2581
Phone (608) 524-4213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001688 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284933920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7109-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Family Dental, S.C. Current Accepting new patients

Locations

764 Crestview Dr
Reedsburg, WI 53959
Phone (608) 524-4213

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1033451422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CRESTVIEW DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592581",
            "telephone_number": "608-524-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CRESTVIEW DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592581",
            "telephone_number": "608-524-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7109-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.