Soren H. Jacobsen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6829299 Issued in UT

Practice address

2830 N 1050 E
Lehi, UT 84043-4033

Phone

(530) 510-1186

Fax

(801) 766-1066

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Soren H. Jacobsen Professional name

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1225108020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N 1050 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434033",
            "telephone_number": "530-510-1186",
            "fax_number": "801-766-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N 1050 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434033",
            "telephone_number": "530-510-1186",
            "fax_number": "801-766-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "SOREN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "6829299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOREN",
            "last_name": "JACOBSEN",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "BA DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ivory Ridge Pediatric Dentistry
• Carrie Michelle Jackman, PA-C
• Harmony Jackson
• Maya Jackson
• Jonathan Virgil Jacobsen, MPT
• Kayla Jacobson, MDA, RDN, CD
• Maren Frances Jacobson, M.ED, BCBA
• April James
• Brooklyn Janes, DMD
• Jared L Szymanski DO PC

• Dentist in Lehi, UT
• Providers in Lehi, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.