NPIMap

Organization Active NPI

Soh of Florida PA

  • Dentist
  • Orlando, FL
National Provider Identifier
1669949616
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOH OF FLORIDA PA
Practice address
610 N Mills Ave Ste 200
Orlando, FL 32803-7113
Phone
(407) 674-8770
NPI assigned
Oct 29, 2018
Organization subpart
Yes
Parent organization
SOH OF FLORIDA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Ray Weber
Title
Support Specialist
Phone
(407) 674-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

610 N Mills Ave Ste 200
Orlando, FL 32803-7113

Mailing address

1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544

Other names 1

  • Oasis Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Florida PA3 organizations share this tax ID, including this one
Part of
Soh of Florida PA

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1669949616",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MILLS AVE STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037113",
            "telephone_number": "407-674-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF FLORIDA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF FLORIDA PA",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "407-674-8770"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.