Individual provider Active NPI

Dawn Medler Sorenson, M.D., M.P.H

  • Pediatrics Physician
  • Maricopa, AZ
National Provider Identifier
1821246091
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R70644 Issued in AZ
Practice address
17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone
(520) 233-2500
Fax
(520) 233-2531
NPI assigned
Aug 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R70644 AZ Primary

Addresses

Primary practice location

17900 N Porter Rd
Maricopa, AZ 85138-4228

Mailing address

22151 N Lakeside Dr
Maricopa, AZ 85138-1558
Phone (520) 245-5172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000859 AZ Practitioner - Pediatric Medicine 4385801554 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R70644AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 30, 2012 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Mar 1, 2020 Accepting new patients
Northwest Allied Physicians, LLC PastSince Nov 30, 2012 Accepting new patients
Pediatric Developmental Connections PastSince Apr 9, 2023 Accepting new patients
Northwest Hospital LLC Pediatrics Past Accepting new patients
Sonoran Radiology LTD Past Accepting new patients

Locations

1760 E Florence Blvd
Ste 100
Casa Grande, AZ 85122
Phone (520) 374-6505

1811 E McMurray Blvd
Casa Grande, AZ 85122
Phone (520) 374-2090

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

564 W 9th Pl
Ste 2
Mesa, AZ 85201
Phone (480) 412-6344

117 E Main St
Ste A100
Payson, AZ 85541
Phone (928) 474-1714

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

13101 N Oracle Rd
Tucson, AZ 85739
Phone (520) 320-7999

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

Organizations & group practices 9

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": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1821246091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 N LAKESIDE DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381558",
            "telephone_number": "520-245-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 N PORTER RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384228",
            "telephone_number": "520-233-2500",
            "fax_number": "520-233-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "DAWN",
        "middle_name": "MEDLER",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-30",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R70644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.