Sora Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SORA DERMATOLOGY, LLC

Practice address

355 Union Blvd Ste 300
Lakewood, CO 80228-1508

Phone

(720) 915-5343

Fax

(720) 615-4812

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Jette Hooper, MDNPI 1578069530

Title

Co-Owner

Phone

(720) 915-5343

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00366

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jette V.C. Hooper, MD

  • Dermatology Physician
  • Lakewood, CO
  • NPI 1578069530
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Rachel Shao, MD

  • MOHS-Micrographic Surgery Physician
  • Lakewood, CO
  • NPI 1891282547

  Dermatology

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1497520308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281508",
            "telephone_number": "720-915-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281508",
            "telephone_number": "720-915-5343",
            "fax_number": "720-615-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORA DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "JETTE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-915-5343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Trista Somerset, DO
• Julia Sommerfeld
• Marsha Sonaty, DDS
• Supriya Sondh
• Soothing Sands Therapy, LLC
• Jessica Anne Sorci Galecki, CNS, LDN
• Anne Sorensen, RN
• Marc Edward Sorensen, D.C.
• Siobhan Tully Sorensen, CCC-SLP
• Gina C Soriya, MD

• Dermatology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.