Organization Active NPI

Soh of Tennessee Specialty LLC

  • Pediatric Dentistry
  • Franklin, TN
National Provider Identifier
1447953245
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SOH OF TENNESSEE SPECIALTY LLC
Practice address
330 Mayfield Dr Ste A14
Franklin, TN 37067-7210
Phone
(636) 362-4986
NPI assigned
Mar 22, 2023
Organization subpart
Yes
Parent organization
SOH OF TENNESSEE SPECIALTY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

330 Mayfield Dr Ste A14
Franklin, TN 37067-7210

Mailing address

1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544
Phone (636) 362-4986

Other names 1

  • Little Smiles of Franklin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Tenneessee Specialty LLC2 organizations share this tax ID, including this one
Part of
Soh of Tenneessee Specialty LLC

Other organizations with this tax ID 1

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

Locations

330 Mayfield Dr
Ste A14
Franklin, TN 37067
Phone (615) 471-7897

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1447953245",
    "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": "330 MAYFIELD DR STE A14",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677210",
            "telephone_number": "636-362-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TENNESSEE SPECIALTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF TENNESSEE SPECIALTY LLC",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-21",
        "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": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Smiles of Franklin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.