DR. JARED MICHAEL SORENSEN D.D.S.
NPI 1104055771
Dentist - Pediatric Dentistry in Phoenix, AZ

Active since July 04, 2009
6750 N 19TH AVE, PHOENIX, AZ 85015(602) 242-5741(602) 242-5742 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jared Michael Sorensen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JARED MICHAEL SORENSEN D.D.S. (NPI 1104055771) is an individual pediatric dentistry provider in Phoenix, Arizona, licensed in Arizona (D008158) and active in the NPI registry since July 2009. He maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1104055771
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JARED MICHAEL SORENSENCredential: D.D.S.
Location Address6750 N 19TH AVEPhoenix, AZ 85015-1127
Mailing Address6750 N 19th AvePhoenix, AZ 85015-1127 · (602) 242-5741 · Fax (602) 242-5742
Fax(602) 242-5742
Sole ProprietorNo
Enumeration DateJuly 4, 2009
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1104055771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AZ · D008158
Definition
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.
6750 N 19TH AVE, Phoenix, AZ 85015

Secondary Practice Location 1

Location 15400 W Northern Ave Ste 102Glendale, AZ 85301-1590 · Phone (623) 500-5790

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (Orthodontics and Dentofacial Orthopedics)
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (General Practice)
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (Pediatric Dentistry)
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (Pediatric Dentistry)
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (Orthodontics and Dentofacial Orthopedics)
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (Pediatric Dentistry)
6750 N 19TH AVE
PHOENIX, AZ 85015
Dentist (Pediatric Dentistry)
6750 N 19TH AVE
PHOENIX, AZ 85015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Sorensen's NPI number?

The NPI number for Jared Sorensen is 1104055771. It was assigned to this individual provider in the NPPES registry on July 4, 2009.

Where is Jared Sorensen located?

Jared Sorensen practices at 6750 N 19th Ave, Phoenix, AZ 85015. The listed phone number is (602) 242-5741.

What is Jared Sorensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jared Sorensen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 13 other insurers list Jared Sorensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Sorensen was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.