Barry Gentry Sorenson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4212 Issued in ID

Practice address

263 Spring Valley Pkwy Ste A3
Spring Creek, NV 89815-6826

Phone

(775) 738-3500

NPI assigned

Jun 2, 2009

Sex

Male

Sole proprietor

Yes

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.

• Silver Tree Dental Care LLC

  • Dentist
  • Elko, NV
  • NPI 1447989850
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2019.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1295961423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 SPRING VALLEY PKWY STE A3",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898156826",
            "telephone_number": "775-738-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 SPRING VALLEY PKWY STE A3",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898156826",
            "telephone_number": "775-738-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Main Street",
            "address_purpose": "LOCATION",
            "city": "Carlin",
            "state": "NV",
            "postal_code": "89822",
            "country_code": "US",
            "telephone_number": "775-754-2900",
            "fax_number": "775-754-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 6th St",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898013242",
            "country_code": "US",
            "telephone_number": "775-738-8117",
            "fax_number": "775-738-2083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "BARRY",
        "middle_name": "GENTRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Counseling and Wellness
• Elaina Scougale, RN
• Colleen Constance Shoaf, CD
• Kimberlee C Smith
• Shawna Smoke
• Spring Creek Pharmacy LLC
• Cynthia Ann Stephenson, MA, QMHA
• Terrance J Stephenson
• Alyssa Stewart, RN
• Dustina Swartz

• All providers in Spring Creek, NV
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.