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DR. KYLE SORENSEN D.M.D.
NPI 1992933238
Dentist - Oral and Maxillofacial Surgery in Seattle, WA

Active since June 25, 2009Opted out of Medicare · through Sep 1, 2026
509 OLIVE WAY STE 1207, SEATTLE, WA 98101(206) 621-9047(206) 624-4664 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kyle Sorensen D.m.d. NPPES

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

DR. KYLE SORENSEN D.M.D. (NPI 1992933238) is an individual oral and maxillofacial surgery provider in Seattle, Washington, licensed in Oklahoma (342) and active in the NPI registry since June 2009. He has opted out of Medicare through September 1, 2026 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992933238
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KYLE SORENSENCredential: D.M.D.
Location Address509 OLIVE WAY STE 1207Seattle, WA 98101-1745
Mailing Address509 Olive Way Ste 1207Seattle, WA 98101-1745 · (206) 621-9047
Phone(206) 621-9047
Fax(206) 624-4664
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1992933238 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 OK · 342
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.
509 OLIVE WAY STE 1207, Seattle, WA 98101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113131 120th Ave NE Ste AKirkland, WA 98034-3037 · Phone (425) 825-7575 · Fax (425) 825-5615
Location 211011 Meridian Ave N Ste 305Seattle, WA 98133-8967 · Phone (206) 363-3010 · Fax (206) 363-3829

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kyle Sorensen D.m.d. 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 September 1, 2020 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2020
Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

NEAL ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
509 OLIVE WAY STE 1207
SEATTLE, WA 98101
King County (206) 621-9047

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 Kyle Sorensen's NPI number?

The NPI number for Kyle Sorensen is 1992933238. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Kyle Sorensen located?

Kyle Sorensen practices at 509 Olive Way Ste 1207, Seattle, WA 98101. The listed phone number is (206) 621-9047.

What is Kyle Sorensen's specialty?

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

Is Kyle Sorensen enrolled in Medicare?

No. Kyle Sorensen has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyle Sorensen was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.