Organization Active NPI

Soh of Texas, Samson Liu PLLC

  • Dentist
  • Austin, TX
National Provider Identifier
1003497009
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOH OF TEXAS, SAMSON LIU PLLC
Practice address
2700 Barton Creek Blvd Ste 110
Austin, TX 78735-1637
Phone
(737) 203-9006
Fax
(737) 203-9007
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashly Sunshine
Title
Credentialing Specialist
Phone
(636) 362-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2700 Barton Creek Blvd Ste 110
Austin, TX 78735-1637

Mailing address

2700 Barton Creek Blvd Ste 110
Austin, TX 78735-1637
Phone (737) 203-9006

Other names 1

  • The Dentists of Barton Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Texas Samson Liu PLLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1003497009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BARTON CREEK BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351637",
            "telephone_number": "737-203-9006",
            "fax_number": "737-203-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BARTON CREEK BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351637",
            "telephone_number": "737-203-9006",
            "fax_number": "737-203-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TEXAS, SAMSON LIU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "636-362-4986"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentists of Barton Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dentists of Barton Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.