SORENSON PEDIATRIC DENTISTRY PLLC (NPI# 1649760257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649760257 |
| Entity Type | Organization |
| Organization Name | SORENSON PEDIATRIC DENTISTRY PLLC |
| Practice Address |
5745 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5623 |
| Practice Telephone | 7025864347 |
| Practice Fax Number | 7025864847 |
| Mailing Telephone | 7025864347 |
| Mailing Fax Number | 7025864847 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | DR. LEVI JOHN SORENSON (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7028540005 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-131 | NV | Dental Providers |
| Street Address |
5745 S FORT APACHE RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089076 | Jens Wilson | Dentist | 101 Shadow Ln, Las Vegas, NV 89106-4301 | 2020-06-30 |
| 1942840723 | Bella Children's Dental Care LLC | Dentist | 560 N Nellis Blvd Ste E2, Las Vegas, NV 89110-5370 | 2020-01-09 |
| 1609377373 | H&b Pediatric Dentistry LLC | Dentist | 8520 Blue Diamond Rd Ste 130, Las Vegas, NV 89178-9297 | 2018-02-27 |
| 1528430790 | Absolute Dental & Orthodontics Prada, Pllc | Dentist | 8380 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-2175 | 2015-10-27 |
| 1083090864 | Chandler Hyer | Dentist | 712 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2015-08-04 |
| 1396125415 | Dawn Mcclellan, Dds, Ms, A Professional Corporation | Dentist | 3603 Las Vegas Blvd N Ste 120, Las Vegas, NV 89115-0591 | 2015-06-03 |
| 1942693403 | Lindsay Row | Dentist | 653 N Town Center Dr Ste 606, Las Vegas, NV 89144-0520 | 2015-03-09 |
| 1467842302 | Adventure Smiles | Dentist | 8995 W Flamingo Rd, Suite 100, Las Vegas, NV 89147-0441 | 2015-01-30 |
| 1740684430 | Waggoner & Associates PC | Dentist | 2381b Renaissance Dr, Las Vegas, NV 89119-6498 | 2014-10-09 |
| 1518248590 | Dr. B's Children's Dentistry LLC | Dentist | 5705 Centennial Center Blvd Ste 140, Las Vegas, NV 89149-7129 | 2011-09-02 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.