Soho- Senior Oral Health Outreach

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

D08533 Issued in AZ

Legal business name

SOHO- SENIOR ORAL HEALTH OUTREACH

Practice address

4901 N 44TH St
Suite 102
Phoenix, AZ 85018-2782

Phone

(480) 779-0227

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Stefanie Hourani, DDS

Title

Director

Phone

(402) 650-0686

Specialties & licenses 3

Addresses

Other names 1

• SOHO- Special Oral Health Outreach Doing business as

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1366988404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 N 44TH ST",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182782",
            "telephone_number": "480-779-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N 44TH ST",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182782",
            "telephone_number": "480-779-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO- SENIOR ORAL HEALTH OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "HOURANI",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-650-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "AZ",
            "license": "D08533",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D08533",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D08533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOHO- Special Oral Health Outreach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Soenksen
• Amy Tevy Soeun, MD
• Soh of Arizona Specialty LLC
• Elbert Soh
• Ambika K Sohal, DO
• Ellen Sohus, MC, LPC, LISAC
• John Sojka, MD
• Sojourner Health
• Kevin Sojourner, RN
• Mary Elizabeth Sokalsky, RN

• Public Health Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Public Health Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.