Active NPI
Levi Sorenson, DMD
- Pediatric Dentistry
- Las Vegas, NV
National Provider Identifier
1043566482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6319
- Practice address
- 1001 Shadow LN
Ms 7423
Las Vegas, NV 89106-4124 - Phone
- (702) 994-1812
- NPI assigned
- Aug 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6319 | NV | Primary |
Addresses
Primary practice location
1001 Shadow LN
Ms 7423
Las Vegas, NV 89106-4124
Mailing address
1001 Shadow LN
Ms 7423
Las Vegas, NV 89106-4124
Phone (702) 994-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorenson Pediatric Dentistry PLLC | Pediatric Dentistry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Las Vegas, NV
- NPI 1649760257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1043566482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SHADOW LN",
"address_2": "MS 7423",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064124",
"telephone_number": "702-994-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SHADOW LN",
"address_2": "MS 7423",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064124",
"telephone_number": "702-994-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSON",
"first_name": "LEVI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NV",
"license": "6319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.