M Sorensen DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

M SORENSEN DDS INC

Practice address

7888 La Mesa Blvd
La Mesa, CA 91942-0633

Phone

(619) 460-8211

NPI assigned

Jun 5, 2025

Organization subpart

No

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

Authorized official

Name

McKenzie Sorensen, DDSNPI 1558846824

Title

Dentist/President

Phone

(619) 460-8211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red Tail Dental Care Doing business as

Practitioners 3

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

• McKenzie Daile Sorensen, DDS

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1558846824
  NPD Authorized official
• Brien Kevin Hill, DDS

  • Dentist
  • La Mesa, CA
  • NPI 1730290917
  NPD (past)
• Tamara Lynne Schneidmiller, DDS

  • Dentist
  • La Mesa, CA
  • NPI 1063523256
  NPD (past)

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1568356236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7888 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420633",
            "telephone_number": "619-460-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7888 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420633",
            "telephone_number": "619-460-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SORENSEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "619-460-8211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558846824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Tail Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Thomas Lynch, PA-C
• Jesse Lyon, M.D.
• Lyons Billing Solutions LLC
• M Paband Nursing, Professional Corporation
• M Phillip Fejleh MD Professional Medical Corporation
• Mary Li Ma, MD
• Luis C Maas III, MD
• Tracy Maccreadie, PSY.D.
• Dalicia Faye Mack-Nowell, LCSW
• Max Akihiro Macmillan, MD

• Dental Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.