Individual provider Active NPI

Bracken Sorensen, DMD

  • General Practice Dentistry
  • Colville, WA
National Provider Identifier
1043797178
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60857581 Issued in WA
Practice address
181 E 1St Ave
Colville, WA 99114-2801
Phone
(509) 684-3736
NPI assigned
Jul 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral Medicine Dentistry 125Q00000X DE60857581 WA
General Practice Dentistry 1223G0001X DE60857581 WA Primary

Addresses

Primary practice location

181 E 1St Ave
Colville, WA 99114-2801

Mailing address

181 E 1St Ave
Colville, WA 99114-2801
Phone (509) 684-3736

Other practice location 1

10121 W Clearwater Ave Ste 115
Kennewick, WA 99336-3500
Phone (509) 685-7445

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

State licenses

LicenseStateTypeSpecialty
DE60857581WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brown & Sorensen, PLLC General Practice Current Accepting new patients
Quality Sleep Northwest LLC Current Accepting new patients
Quality Sleep Northwest LLC Current Accepting new patients

Locations

181 E 1st Ave
Colville, WA 99114
Phone (509) 684-3736

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1043797178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E 1ST AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142801",
            "telephone_number": "509-684-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E 1ST AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142801",
            "telephone_number": "509-684-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10121 W Clearwater Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993363500",
            "country_code": "US",
            "telephone_number": "509-685-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "BRACKEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "WA",
            "license": "DE60857581",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60857581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.