NPIMap

Organization Active NPI

Sorenson Chiropractic PLLC

  • Chiropractor
  • St George, UT
National Provider Identifier
1669616348
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
67993081202 Issued in UT
Legal business name
SORENSON CHIROPRACTIC PLLC
Practice address
47 N 100 E
St George, UT 84770-3402
Phone
(435) 275-4015
Fax
(435) 656-8400
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. John Robert Sorenson, DCNPI 1396918686
Title
Owner
Phone
(435) 275-4015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 67993081202 UT Primary

Addresses

Primary practice location

47 N 100 E
St George, UT 84770-3402

Mailing address

47 N 100 E
St George, UT 84770-3402
Phone (435) 275-4015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000575 UT Part B Supplier - Clinic/Group Practice 2466644349 Receives reassigned benefits from 3 practitioners
Practice locations: Saint George, UT

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1669616348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N 100 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703402",
            "telephone_number": "435-275-4015",
            "fax_number": "435-656-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N 100 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703402",
            "telephone_number": "435-275-4015",
            "fax_number": "435-656-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORENSON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-275-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "67993081202",
            "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 Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.