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MARK WELDON SORENSEN DDS
NPI 1659690352
Dentist - Oral and Maxillofacial Surgery in Prescott Valley, AZ

Active since May 20, 2010Opted out of Medicare · through Aug 6, 2027
8101 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314(928) 775-2545(928) 775-2535 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Weldon Sorensen Dds NPPES

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

MARK WELDON SORENSEN DDS (NPI 1659690352) is an individual oral and maxillofacial surgery provider in Prescott Valley, Arizona, licensed in Arizona (D008900) and active in the NPI registry since May 2010. He has opted out of Medicare through August 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659690352
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMARK WELDON SORENSENCredential: DDS
Location Address8101 E FLORENTINE RDPrescott Valley, AZ 86314-8454
Mailing Address8101 E Florentine RdPrescott Valley, AZ 86314-8454 · (928) 775-2545 · Fax (928) 775-2535
Phone(928) 775-2545
Fax(928) 775-2535
Sole ProprietorYes
Enumeration DateMay 20, 2010
Last NPPES UpdateJuly 15, 2014
✔ NPI 1659690352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · D008900
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
8101 E FLORENTINE RD, Prescott Valley, AZ 86314
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Other Identifiers 1

Medicaid917971AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Weldon Sorensen Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 6, 2015 through August 6, 2027.

Opt-Out Effective DateAugust 6, 2015
Opt-Out In Effect ThroughAugust 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

LOUISE CLARA NP-C
Nurse Practitioner (Family)
8101 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 778-4711
MOBLIE HEALTH CARE SOLUTIONS, LLC
Pharmacy
8101 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 778-4711
YAVAPAI ORAL AND FACIAL SURGERY PLLC
Dentist (Oral and Maxillofacial Surgery)
8101 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-2545

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 Mark Sorensen's NPI number?

The NPI number for Mark Sorensen is 1659690352. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Mark Sorensen located?

Mark Sorensen practices at 8101 E Florentine Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 775-2545.

What is Mark Sorensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mark Sorensen enrolled in Medicare?

No. Mark Sorensen has opted out of Medicare through August 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark 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 Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Mark 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 Mark Sorensen was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.