Kyle Sorensen, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

342 Issued in OK

Practice address

509 Olive Way Ste 1207
Seattle, WA 98101-1745

Phone

(206) 621-9047

Fax

(206) 624-4664

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 1, 2020 through Sep 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neal Oral & Maxillofacial Surgery

  • Dentist
  • Kirkland, WA
  • NPI 1518076223
  NPD (past)
• Neal Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Pathology Dentistry
  • Seattle, WA
  • NPI 1720154404
  NPD (past)
• Neal Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Kirkland, WA
  • NPI 1487593745
  NPD (past)
• Neal Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
  • NPI 1629917984
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1992933238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011745",
            "telephone_number": "206-621-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011745",
            "telephone_number": "206-621-9047",
            "fax_number": "206-624-4664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11011 Meridian Ave N Ste 305",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338967",
            "country_code": "US",
            "telephone_number": "206-363-3010",
            "fax_number": "206-363-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13131 120th Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343037",
            "country_code": "US",
            "telephone_number": "425-825-7575",
            "fax_number": "425-825-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnete H. Sorensen, PT
• Anette Sorensen, M.ED., BCBA
• Eric P Sorensen
• Gregory K. Sorensen, MD
• John Sorensen
• Lee Maurice Sorensen, DDS
• Linda D. Sorensen, MSW
• Lyle S Sorensen, MD
• Mathew D Sorensen, MD, MS
• Rachel Elizabeth Sorensen, MD

• Oral and Maxillofacial Surgery (Dentist) in Seattle, WA
• Providers in Seattle, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.