Individual provider Active NPI

Michael Howard Sorgen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke Pines, FL
National Provider Identifier
1568514099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
FL9783 Issued in FL
Practice address
9050 Pines Blvd
Suite 420
Pembroke Pines, FL 33024-6415
Phone
(954) 432-7025
Fax
(954) 432-7613
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X FL9783 FL Primary

Addresses

Primary practice location

9050 Pines Blvd
Suite 420
Pembroke Pines, FL 33024-6415

Mailing address

9050 Pines Blvd
Suite 420
Pembroke Pines, FL 33024-6415
Phone (954) 432-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 5, 2016 through Aug 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FL9783FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Cowan and Associates, DDS, PA Oral and Maxillofacial Surgery Past Accepting new patients
M Cowan & Associates DDS PA Oral and Maxillofacial Surgery Past Accepting new patients
Dental Airway Specialty Center PA Oral and Maxillofacial Surgery PastSince Feb 2, 2025 Accepting new patients

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568514099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "address_2": "SUITE 420",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246415",
            "telephone_number": "954-432-7025",
            "fax_number": "954-432-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "address_2": "SUITE 420",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246415",
            "telephone_number": "954-432-7025",
            "fax_number": "954-432-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGEN",
        "first_name": "MICHAEL",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "FL9783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.