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

Q: 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.

Q: 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.

Q: 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 17 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.

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: November 01, 2026.

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

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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

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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, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Travis Sorensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bountiful Oral Surgery, P.C.

Same address

Oral and Maxillofacial Surgery

625 E 500 S STE 204
Bountiful, UT 84010

Reassigned Medicare billing, Utah enrollment
Medicare enrollment name: Bountiful Oral Surgery PC

NPI 1861147100 (801) 298-2242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Travis Sorensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Sorensen reassigns Medicare benefits to Bountiful Oral Surgery, P.C. (Bountiful, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Sorensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Sorensen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and BEST Life and 22 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 17 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.