Organization Active NPI

Soh of Texas Specialty Services PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
National Provider Identifier
1548987654
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOH OF TEXAS SPECIALTY SERVICES PLLC
Practice address
2700 Barton Creek Blvd Ste 110
Austin, TX 78735-1637
Phone
(737) 203-9006
NPI assigned
Oct 20, 2022
Organization subpart
Yes
Parent organization
SOH OF TEXAS SPECIALTY SERVICES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Samson Liu
Title
Owner/Dentist
Phone
(217) 821-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2700 Barton Creek Blvd Ste 110
Austin, TX 78735-1637

Mailing address

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

Other names 1

  • The Dentists of Barton Creek Ortho Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Texas Specialty Services PLLC3 organizations share this tax ID, including this one
Part of
Soh of Texas Specialty Services PLLC

Other organizations with this tax ID 2

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

Locations

2700 Barton Creek Blvd
Ste 110
Austin, TX 78735
Phone (512) 328-7300

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1548987654",
    "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": "2700 BARTON CREEK BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351637",
            "telephone_number": "737-203-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TEXAS SPECIALTY SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF TEXAS SPECIALTY SERVICES PLLC",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "217-821-7960"
    },
    "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": [
        {
            "organization_name": "The Dentists of Barton Creek Ortho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.