MR. OLAV JENS SORENSEN D.M.D.
NPI 1184999708
Dentist - General Practice in Blackfoot, ID

Active since March 14, 2012PECOS Enrolled
621 JENSEN GROVE DR, BLACKFOOT, ID 83221(208) 915-8419 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2021, Mar 17, 2018, Aug 21, 2017 (3 updates tracked since 2017).

About Mr. Olav Jens Sorensen D.m.d. NPPES

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

MR. OLAV JENS SORENSEN D.M.D. (NPI 1184999708) is an individual general practice provider in Blackfoot, Idaho, licensed in Idaho (D-4435) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184999708
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. OLAV JENS SORENSENCredential: D.M.D.
Location Address621 JENSEN GROVE DRBlackfoot, ID 83221-1685
Mailing Address621 Jensen Grove DrBlackfoot, ID 83221-1685 · (208) 915-8419 · Fax (208) 785-2016
Sole ProprietorNo
Enumeration DateMarch 14, 2012
Last NPPES UpdateApril 23, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1184999708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D-4435
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
621 JENSEN GROVE DR, Blackfoot, ID 83221

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Olav Jens Sorensen D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
621 JENSEN GROVE DR
BLACKFOOT, ID 83221
Dentist (Pediatric Dentistry)
621 JENSEN GROVE DR
BLACKFOOT, ID 83221

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 Olav Sorensen's NPI number?

The NPI number for Olav Sorensen is 1184999708. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Olav Sorensen located?

Olav Sorensen practices at 621 Jensen Grove Dr, Blackfoot, ID 83221. The listed phone number is (208) 915-8419.

What is Olav Sorensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Olav Sorensen enrolled in Medicare?

Yes. Olav Sorensen is registered in the Medicare PECOS enrollment system.

What insurance does Olav Sorensen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Olav 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 Olav Sorensen was last updated on April 23, 2021. 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.