DR. KYLE SORENSEN D.M.D.
NPI 1992933238
Dentist - Oral and Maxillofacial Surgery in Oklahoma City, OK

NPI Status: Active since June 25, 2009

Contact Information

1201 N STONEWALL AVE
SUITE 206
OKLAHOMA CITY, OK
ZIP 73117
Phone: (405) 271-4441
Fax: (405) 271-1134

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • Opted-Out Medicare

About KYLE SORENSEN

This page provides the complete NPI Profile along with additional information for Kyle Sorensen, a provider established in Oklahoma City, Oklahoma with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1992933238 assigned on June 2009. The practitioner's primary taxonomy code is 1223S0112X with license number 342 (OK). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1992933238
Provider Name
DR. KYLE SORENSEN D.M.D.
Gender
Male
Entity Type
Individual
Location Address
1201 N STONEWALL AVE SUITE 206 OKLAHOMA CITY, OK 73117
Location Phone
(405) 271-4441
Location Fax
(405) 271-1134
Mailing Address
1817 NW 148TH ST EDMOND, OK 73013
Mailing Phone
(860) 839-3619
Is Sole Proprietor?
No
Enumeration Date
06-25-2009
Last Update Date
06-25-2009
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A dentist like Kyle Sorensen is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kyle Sorensen opted out of Medicare effective on 09-01-2020 until 09-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
342
License State
OK
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 09-01-2020

  • Opt-Out End Date: 09-01-2026

  • Eligible to Order and Refer? No

Reviews for DR. KYLE SORENSEN D.M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992933238
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182183626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 8 + 3 + 6 + 2 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1992933238 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033171244DR. KENNETH S. COY D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
(405) 271-8000
1528072329DR. TERRY JACK FRUITS DDS
Individual
Dentist (General Practice)1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
(405) 271-5735
1639274582DR. JOSEPH ROBERT CAIN DDS,MS
Individual
Dentist (Prosthodontics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-4160
1598856783DR. DONALD L MITCHELL DDS
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-4034
1790873388DR. NANCY L. JACOBSEN DDS, MS
Individual
Dentist1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-4034
1679648703 ROBERT E. CARSON D.M.D., M.S.
Individual
Dentist (Periodontics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1528133667 TARISAI C. DANDAJENA D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1275608325 KEVIN L. HANEY D.D.S., M.S.
Individual
Dentist (Pediatric Dentistry)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1760557730 CARLTON L MONTGOMERY D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1871668855 LIDA RADFAR D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1922173905 MACK TIMOTHY RUDD D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1881769875 SUSAN L. SETTLE D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1578638565 DAVID E. WEINER D.D.S.
Individual
Dentist (Periodontics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1740355882 BARRY P. GREENLEY D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1912072984 RAM S. NANDA D.D.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1053486175 JOY M. BECKERLEY D.D.S.
Individual
Dentist (Periodontics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1588739544 BOOSEH JAFARI D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1356416341 FRANK J. WIEBELT D.D.S.
Individual
Dentist (Prosthodontics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1528133576 JOY SACHIKO HASEBE D.D.S.
Individual
Dentist (General Practice)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714
1730254855 LUIS J. BLANCO D.M.D., M.S.
Individual
Dentist (Prosthodontics)1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117
(405) 271-5714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992933238, enumerated in the NPI registry as an "individual" on June 25, 2009

The provider is located at 1201 N Stonewall Ave Suite 206 Oklahoma City, Ok 73117 and the phone number is (405) 271-4441

The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

No, the provider signed an affidavit on September 01, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 01, 2026.

This NPI record was last updated on June 25, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.