Organization Active NPI

Soh of Wyoming LLC

  • Dentist
  • Cheyenne, WY
National Provider Identifier
1740942002
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Wyoming LLC2 organizations share this tax ID, including this one
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.

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": "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.

Verify at the official NPI Registry.