Soh of Arizona Specialty LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOH OF ARIZONA SPECIALTY LLC

Practice address

16620 N 40TH St Ste A1
Phoenix, AZ 85032-3349

Phone

(602) 842-6988

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Ashly Kristine Sunshine

Title

Credentialing Specialist

Phone

(314) 413-2803

Specialties & licenses 1

Addresses

Other names 1

• Steven S. Sabatino DDS Doing business as

Tax ID family

Glendale Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Soh of Arizona Specialty LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, AZ
  • NPI 1104554179
  NPD tax ID

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1043938368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 ELBRIDGE PAYNE RD STE 240",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178544",
            "telephone_number": "636-362-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE A1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323349",
            "telephone_number": "602-842-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF ARIZONA SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-413-2803"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven S. Sabatino DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine A Sodowsky, SLP
• Hahn Soe-Lin, M.D.
• Eric Michael Soebbing, PHARMD
• Karen Soenksen
• Amy Tevy Soeun, MD
• Elbert Soh
• Ambika K Sohal, DO
• Soho- Senior Oral Health Outreach
• Ellen Sohus, MC, LPC, LISAC
• John Sojka, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.