Individual provider Active NPI

Robert James Sorlien, DMD

  • General Practice Dentistry
  • Rainier, OR
National Provider Identifier
1790032985
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5805 Issued in OR
Practice address
126 W B St
Rainier, OR 97048-0007
Phone
(503) 556-1565
Fax
(503) 556-1566
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5805 OR Primary

Addresses

Primary practice location

126 W B St
Rainier, OR 97048-0007

Mailing address

PO Box 7
Rainier, OR 97048-0007
Phone (503) 556-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000842 OR Order and Referring Only - DentistPractitioner - Dentist 3274834726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5805ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Sorlien DMD, PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1790032985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970480007",
            "telephone_number": "503-556-1565",
            "fax_number": "503-556-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W B ST",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970480007",
            "telephone_number": "503-556-1565",
            "fax_number": "503-556-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORLIEN",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainier, OR

Sources for this page

Verify at the official NPI Registry.