Active NPI
Soh of Wyoming LLC
- Dentist
- Cheyenne, WY
National Provider Identifier
1740942002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SOH OF WYOMING LLC
- Practice address
- 121 W Carlson St
Cheyenne, WY 82009-4044 - Phone
- (307) 635-1197
- NPI assigned
- Oct 13, 2021
- Organization subpart
- Yes
- Parent organization
- SOH OF WYOMING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashly Kristine Sunshine
- Title
- Credentialing Specialist
- Phone
- (314) 413-2803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
121 W Carlson St
Cheyenne, WY 82009-4044
Mailing address
121 W Carlson St
Cheyenne, WY 82009-4044
Phone (307) 635-1197
Other names 1
- DBA Westgate Dental
National Provider Directory
National Provider Directory- Tax ID family
- Soh of Wyoming LLC
- Part of
- Soh of Wyoming LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Cheyenne, WY
- NPI 1518623644
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.
-
- Dentist
- Cheyenne, WY
- NPI 1518623644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1740942002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W CARLSON ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094044",
"telephone_number": "307-635-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W CARLSON ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094044",
"telephone_number": "307-635-1197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOH OF WYOMING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOH OF WYOMING LLC",
"enumeration_date": "2021-10-13",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "SUNSHINE",
"authorized_official_first_name": "ASHLY",
"authorized_official_middle_name": "KRISTINE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "314-413-2803"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Westgate Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DBA Westgate Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.