NPIMap

Organization Active NPI

Soh of Missouri Samson Liu PC

Doing business as Weldon Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Weldon Spring, MO
National Provider Identifier
1649878034
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOH OF MISSOURI SAMSON LIU PC
Doing business as
Weldon Orthodontics
Practice address
810 Ofallon Rd Ste 70
Weldon Spring, MO 63304-8107
Phone
(636) 244-4052
NPI assigned
Oct 16, 2020
Organization subpart
Yes
Parent organization
SOH OF MISSOURI SAMSON LIU PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Samson Liu
Title
Ceo
Phone
(217) 821-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

810 Ofallon Rd Ste 70
Weldon Spring, MO 63304-8107

Mailing address

810 Ofallon Rd Ste 70
Weldon Spring, MO 63304-8107
Phone (636) 244-4052

Other names 1

  • Weldon Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Missouri Samson PC6 organizations share this tax ID, including this one
Part of
Soh of Missouri Samson PC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1649878034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 OFALLON RD STE 70",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633048107",
            "telephone_number": "636-244-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 OFALLON RD STE 70",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633048107",
            "telephone_number": "636-244-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF MISSOURI SAMSON LIU PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF MISSOURI SAMSON LIU PC",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-821-7960"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weldon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weldon Spring, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.