NPIMap

Organization Active NPI

Soh of Texas Samson Liu PLLC

  • Dentist
  • Temple, TX
National Provider Identifier
1427520790
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
4206 Lowes Dr
Temple, TX 76502-3498
Phone
(254) 778-5070
Fax
(254) 771-0235
NPI assigned
Dec 26, 2018
Organization subpart
Yes
Parent organization
SOH OF TEXAS SAMSON LIU PLLCAs reported in NPPES

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
Phone
(636) 362-4986

Specialties & licenses 1

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

Addresses

Primary practice location

4206 Lowes Dr
Temple, TX 76502-3498

Mailing address

4206 Lowes Dr
Temple, TX 76502-3498
Phone (254) 778-5070

Other names 1

  • FOREST TRAIL DENTAL CARE 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
Part of
Soh of Texas Samson Liu PLLC

Other organizations with this tax ID 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1427520790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 LOWES DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023498",
            "telephone_number": "254-778-5070",
            "fax_number": "254-771-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 LOWES DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023498",
            "telephone_number": "254-778-5070",
            "fax_number": "254-771-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TEXAS SAMSON LIU PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF TEXAS SAMSON LIU PLLC",
        "enumeration_date": "2018-12-26",
        "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",
        "authorized_official_telephone_number": "636-362-4986"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST TRAIL DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOREST TRAIL DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, 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.