Individual provider Active NPI

Michael James Sorensen, D.C.

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1053574350
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3849 Issued in OR
Practice address
716 SW Highland Ave
Redmond, OR 97756-3120
Phone
(541) 516-1045
Fax
(541) 516-1045
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3849 OR Primary

Addresses

Primary practice location

716 SW Highland Ave
Redmond, OR 97756-3120

Mailing address

716 SW Highland Ave
Redmond, OR 97756-3120
Phone (541) 516-1045

Other identifiers 1

IdentifierTypeStateIssuer
R166845OtherORPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000211 OR Practitioner - Chiropractic 9335215060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

716 SW Highland Ave
Redmond, OR 97756-3120
Phone (541) 516-1045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Chiropractic & Natural Medicine LLC Chiropractor CurrentSince Jul 24, 2015 Accepting new patients
Jeffery W. Baker D.C. P.C. Chiropractor PastSince Jan 1, 2001 Accepting new patients

Locations

716 SW Highland Ave
Redmond, OR 97756
Phone (541) 516-1045

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 2

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1053574350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SW HIGHLAND AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563120",
            "telephone_number": "541-516-1045",
            "fax_number": "541-516-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SW HIGHLAND AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563120",
            "telephone_number": "541-516-1045",
            "fax_number": "541-516-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R166845",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.