Individual provider Active NPI

John Robert Sorenson, DC

  • Chiropractor
  • St George, UT
National Provider Identifier
1396918686
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6799308-1202 Issued in UT
Practice address
720 S River Rd Ste C240
St George, UT 84790-2103
Phone
(435) 656-2888
Fax
(435) 656-8400
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23114 CA
Chiropractor 111N00000X 6799308-8007 UT
Chiropractor 111N00000X 6799308-1202 UT Primary

Addresses

Primary practice location

720 S River Rd Ste C240
St George, UT 84790-2103

Mailing address

720 S River Rd Ste C240
St George, UT 84790-2103
Phone (435) 656-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000395 UT Practitioner - Chiropractic 3971666371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sorenson Chiropractic PLLCGroup PAC ID 2466644349, 2 clinicians

Practice addresses (Care Compare)

720 S River Rd
Suite C240
St George, UT 84790-2103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6799308-8007UTMDChiropractor
23114CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sorenson Chiropractic PLLC Chiropractor CurrentSince Jul 7, 2012 Accepting new patients
Zion Health Management Services Chiropractor PastSince Feb 3, 2012 Accepting new patients
Senior Healthlynk Chiropractor Past Accepting new patients

Locations

47 N 100 E
St George, UT 84770
Phone (435) 229-4473

720 S River Rd
Ste C240
St George, UT 84790
Phone (435) 275-4015

Organizations & group practices 3

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1396918686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD STE C240",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902103",
            "telephone_number": "435-656-2888",
            "fax_number": "435-656-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD STE C240",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902103",
            "telephone_number": "435-656-2888",
            "fax_number": "435-656-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23114",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6799308-8007",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6799308-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.