NPIMap

Organization Active NPI

Soh of Florida PA

Doing business as North Florida Dentistry

  • Dentist
  • Orange Park, FL
National Provider Identifier
1407630148
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOH OF FLORIDA PA
Doing business as
North Florida Dentistry
Practice address
1584 Kingsley Ave Ste a
Orange Park, FL 32073-4515
Phone
(904) 990-0926
NPI assigned
Aug 23, 2023
Organization subpart
Yes
Parent organization
SOH OF FLORIDA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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
(314) 413-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1584 Kingsley Ave Ste a
Orange Park, FL 32073-4515

Mailing address

1584 Kingsley Ave Ste a
Orange Park, FL 32073-4515

Other names 1

  • North Florida Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Florida PA3 organizations share this tax ID, including this one
Part of
Soh of Florida PA

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1407630148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 KINGSLEY AVE STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 KINGSLEY AVE STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734515",
            "telephone_number": "904-990-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF FLORIDA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF FLORIDA PA",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-413-2803"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Florida Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.