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TRAVIS M. SORENSEN DDS
NPI 1679878938
Dentist - Oral and Maxillofacial Surgery in Bountiful, UT

Active since January 18, 2011PECOS Enrolled
625 E 500 S STE 204, BOUNTIFUL, UT 84010(801) 298-2242(801) 294-9920 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 27, 2025, Jul 22, 2022 (2 updates tracked since 2022).

About Travis M. Sorensen Dds NPPES

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

TRAVIS M. SORENSEN DDS (NPI 1679878938) is an individual oral and maxillofacial surgery provider in Bountiful, Utah, licensed in Utah (12396150) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679878938
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTRAVIS M. SORENSENCredential: DDS
Location Address625 E 500 S STE 204Bountiful, UT 84010-3883
Mailing Address625 E 500 S Ste 204Bountiful, UT 84010-3883 · (801) 298-2242
Phone(801) 298-2242
Fax(801) 294-9920
Sole ProprietorNo
Enumeration DateJanuary 18, 2011
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1679878938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in UT · 12396150✔ Licensed in AZ · 9349✔ Licensed in NV · 6492
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.
625 E 500 S STE 204, Bountiful, UT 84010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13250 N Campbell Ave, Ste 116Tucson, AZ 85719-7311 · Phone (520) 917-9112
Location 22185 N Robins Dr Ste 204Layton, UT 84041-1192 · Phone (801) 335-4546 · Fax (801) 335-4546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.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)

Travis M. Sorensen Dds 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 84010 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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

BOUNTIFUL ORAL SURGERY, P.C.
Dentist (Oral and Maxillofacial Surgery)
625 E 500 S STE 204
BOUNTIFUL, UT 84010
Davis County (801) 298-2242

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 Travis Sorensen's NPI number?

The NPI number for Travis Sorensen is 1679878938. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Travis Sorensen located?

Travis Sorensen practices at 625 E 500 S Ste 204, Bountiful, UT 84010. The listed phone number is (801) 298-2242.

What is Travis Sorensen's specialty?

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

Is Travis Sorensen enrolled in Medicare?

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

What insurance does Travis Sorensen accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 other insurers list Travis 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 Travis Sorensen was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.