Organization Active NPI

Soh of Arkansas William Wellford PC

  • Dentist
  • Fayetteville, AR
National Provider Identifier
1497251201
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOH OF ARKANSAS WILLIAM WELLFORD PC
Practice address
2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625
Phone
(870) 672-2407
NPI assigned
Apr 2, 2018
Last updated
Apr 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL CARE OF FAYETTEVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Ray Weber
Title
Regional Support Specialist
Phone
(314) 753-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625

Mailing address

2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625
Phone (870) 672-2407

National Provider Directory

National Provider Directory
Tax ID family
Soh of Arkansas William Wellford Porter PC2 organizations share this tax ID, including this one
Part of
Soh of Arkansas William Wellford Porter PC

Other organizations with this tax ID 1

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

Locations

2868 W Martin Luther King Jr Blvd
Fayetteville, AR 72704
Phone (479) 249-8181

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1497251201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047625",
            "telephone_number": "870-672-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047625",
            "telephone_number": "870-672-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF ARKANSAS WILLIAM WELLFORD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL CARE OF FAYETTEVILLE",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "REGIONAL SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "314-753-8154"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.