Active NPI
Clifford G. Sorensen, DDS
- General Practice Dentistry
- Huntsville, UT
National Provider Identifier
1679635858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1329799922
- Practice address
- 7458 E First St
Huntsville, UT 84317-9803 - Phone
- (801) 643-1812
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1329799922 | UT | Primary |
Addresses
Primary practice location
7458 E First St
Huntsville, UT 84317-9803
Mailing address
PO Box 139
7458 E. 1St Street
Huntsville, UT 84317-0139
Phone (801) 643-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1329799922 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1679635858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 139",
"address_2": "7458 E. 1ST STREET",
"city": "HUNTSVILLE",
"state": "UT",
"postal_code": "843170139",
"telephone_number": "801-643-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7458 E FIRST ST",
"city": "HUNTSVILLE",
"state": "UT",
"postal_code": "843179803",
"telephone_number": "801-643-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "CLIFFORD",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "1329799922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.