Jared Michael Sorensen, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D008158 Issued in AZ

Practice address

6750 N 19TH Ave
Phoenix, AZ 85015-1127

Phone

(602) 242-5741

Fax

(602) 242-5742

NPI assigned

Jul 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1104055771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151127",
            "telephone_number": "602-242-5741",
            "fax_number": "602-242-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151127",
            "telephone_number": "602-242-5741",
            "fax_number": "602-242-5742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 W Northern Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853011590",
            "country_code": "US",
            "telephone_number": "623-500-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-04",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Sorajja, M.D.
• Laurel Sorby
• Sorella Behavioral Solutions LLC
• Sylvie Lee Sorelle, NP
• Sorena Health, LLC
• Jessica Michelle Sorensen, P.T.
• Maria D Soriano, MD
• Ramon N Soriano, MD
• Victor H Soriano
• Chijioke Nnenna Soribe, MD

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.