IndividualActive
Jared Sorensen, D.D.S.
NPI 1104055771 · Pediatric Dentistry · Phoenix, AZ
Jared Sorensen, D.D.S. is a Pediatric Dentistry provider in Phoenix, AZ (NPI 1104055771).
Provider details
- NPI number
- 1104055771
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6750 N 19th Ave
Phoenix, AZ 85015-1127
Phone: (602) 242-5741
Fax: (602) 242-5742
Street-level locationGet directions
Mailing address
6750 N 19th Ave
Phoenix, AZ 85015-1127
Additional practice locations (1)
- 5400 W Northern Ave Ste 102Glendale, AZ 85301-1590Phone: (623) 500-5790
Registry dates
- Enumerated
- 2009-07-04
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Jared Sorensen's NPI number?
- Jared Sorensen's National Provider Identifier (NPI) is 1104055771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Sorensen's specialty?
- Jared Sorensen is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Jared Sorensen located?
- Jared Sorensen's practice location on file with NPPES is 6750 N 19th Ave, Phoenix, AZ 85015-1127.
- What is Jared Sorensen's phone number?
- The practice phone number listed in the NPPES registry for Jared Sorensen is (602) 242-5741.
- Is Jared Sorensen's NPI active?
- Yes — Jared Sorensen's NPI (1104055771) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.