NPIMap

Organization Active NPI

James E Sorge DMD a Professional Corporation

  • Dental Clinic/Center
  • San Clemente, CA
National Provider Identifier
1215434451
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45325 Issued in CA
Legal business name
JAMES E SORGE DMD A PROFESSIONAL CORPORATION
Practice address
1171 Puerta del Sol Ste C
San Clemente, CA 92673-6343
Phone
(949) 492-3407
Fax
(949) 492-1485
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Dr. James Edward Sorge, DMDNPI 1366422628
Title
President
Phone
(949) 492-3407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 45325 CA Primary

Addresses

Primary practice location

1171 Puerta del Sol Ste C
San Clemente, CA 92673-6343

Mailing address

1171 Puerta del Sol Ste C
San Clemente, CA 92673-6343
Phone (949) 492-3407

Other names 1

  • Epic Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1171 Puerta del Sol
Ste C
San Clemente, CA 92673
Phone (949) 492-3407

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1215434451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 PUERTA DEL SOL STE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736343",
            "telephone_number": "949-492-3407",
            "fax_number": "949-492-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 PUERTA DEL SOL STE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736343",
            "telephone_number": "949-492-3407",
            "fax_number": "949-492-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E SORGE DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "SORGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-492-3407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.