Individual provider Active NPI

James Edward Sorge, D.M.D.

  • General Practice Dentistry
  • Fallbrook, CA
National Provider Identifier
1366422628
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45325 Issued in CA
Practice address
521 E Elder St
Suite 203
Fallbrook, CA 92028-3081
Phone
(760) 728-1592
Fax
(760) 728-2055
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45325 CA Primary

Addresses

Primary practice location

521 E Elder St
Suite 203
Fallbrook, CA 92028-3081

Mailing address

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

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
45325CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James E Sorge DMD a Professional Corporation CurrentSince Oct 8, 2000 Accepting new patients

Locations

521 E Elder St
Ste 203
Fallbrook, CA 92028
Phone (760) 280-6727

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

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1366422628",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST",
            "address_2": "SUITE 203",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283081",
            "telephone_number": "760-728-1592",
            "fax_number": "760-728-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGE",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, 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.