Jason Sorensen D.D.S. a Professional Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

46690 Issued in CA

Legal business name

JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION

Practice address

1480 W Herndon Ave
Fresno, CA 93711-0552

Phone

(559) 447-0544

Fax

(559) 431-1827

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Sorensen, D.D.S.

Title

President

Phone

(559) 447-0544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jerold R. Sorensen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Heber City, UT
  • NPI 1528286226
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1952528671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-447-0544",
            "fax_number": "559-431-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-447-0544",
            "fax_number": "559-431-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-447-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "46690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER ID",
            "identifier": "G9286601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irma Jarovic, MD
• Brianne Jarrett
• Janene Erika Jarrett, NP
• Janelle Sarah Jarvis, OTR/L
• Jaryn L. Warren, Marriage and Family Therapist, Inc.
• Jason Stutzman
• Jagdip Jaspal, PHARM.D.
• Jaspreet Kaur DDS Dental Corp
• Jennifer Marie Jasso
• Siva Prasad Jasti, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Fresno, CA
• Providers in Fresno, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.