Individual provider Active NPI

Chase Roger Sorenson, DMD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1285429324
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8202 Issued in NV
Practice address
1001 Shadow LN
Las Vegas, NV 89106-4124
Phone
(702) 774-2545
NPI assigned
Apr 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8202 NV Primary

Addresses

Primary practice location

1001 Shadow LN
Las Vegas, NV 89106-4124

Mailing address

1001 Shadow LN
Las Vegas, NV 89106-4124
Phone (702) 774-2545

Other practice location 1

3945 S Maryland Pkwy
Las Vegas, NV 89119-7562
Phone (702) 843-5042

Other practice location 2

8380 W Cheyenne Ave Ste 104
Las Vegas, NV 89129-2175
Phone (702) 733-0888

Other practice location 3

3040 W Ann Rd Ste 101
North Las Vegas, NV 89031-7266
Phone (702) 825-0926

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
8202NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Orthodontics PastSince Apr 13, 2025 Accepting new patients

Organizations & group practices 1

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": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1285429324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064124",
            "telephone_number": "702-774-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064124",
            "telephone_number": "702-774-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197562",
            "country_code": "US",
            "telephone_number": "702-843-5042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8380 W Cheyenne Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891292175",
            "country_code": "US",
            "telephone_number": "702-733-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3040 W Ann Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890317266",
            "country_code": "US",
            "telephone_number": "702-825-0926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "CHASE",
        "middle_name": "ROGER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.