Organization Active NPI

Soh of Tenneessee Specialty LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Franklin, TN
National Provider Identifier
1477253268
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOH OF TENNEESSEE SPECIALTY LLC
Practice address
330 Mayfield Dr Ste A15
Franklin, TN 37067-7210
Phone
(636) 362-4986
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

330 Mayfield Dr Ste A15
Franklin, TN 37067-7210

Mailing address

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

Other practice location 1

330 Mayfield Dr Ste A14
Franklin, TN 37067-7210
Phone (636) 362-4986

National Provider Directory

National Provider Directory
Tax ID family
Soh of Tenneessee Specialty LLC2 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.

Locations

330 Mayfield Dr
Ste A15
Franklin, TN 37067
Phone (636) 362-4986

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1477253268",
    "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 A15",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677210",
            "telephone_number": "636-362-4986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Mayfield Dr Ste A14",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370677210",
            "country_code": "US",
            "telephone_number": "636-362-4986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOH OF TENNEESSEE SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "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": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 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.