NPIMap

Organization Active NPI

Soh Partnership of Hawaii

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Honolulu, HI
National Provider Identifier
1770116790
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOH PARTNERSHIP OF HAWAII
Practice address
930 Valkenburgh St
Honolulu, HI 96818-3912
Phone
(808) 261-4696
NPI assigned
Feb 18, 2020
Organization subpart
Yes
Parent organization
HOOK ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Samson Liu, DDS
Title
Manager
Phone
(217) 821-7960

Specialties & licenses 1

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

Addresses

Primary practice location

930 Valkenburgh St
Honolulu, HI 96818-3912

Mailing address

930 Valkenburgh St
Honolulu, HI 96818-3912
Phone (808) 261-4696

Other practice location 1

305 Uluniu St Ste 105
Kailua, HI 96734-2549
Phone (808) 261-4996

Other practice location 2

95-221 Kipapa Dr
Mililani, HI 96789-1147
Phone (808) 261-4696

Other identifiers 1

IdentifierTypeStateIssuer
B53837401MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Soh Partnership of Hawaii3 organizations share this tax ID, including this one
Part of
Soh Partnership of Hawaii

Other organizations with this tax ID 2

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

Locations

930 Valkenburgh St
Honolulu, HI 96818
Phone (808) 202-2007

305 Uluniu St
Ste 105
Kailua, HI 96734
Phone (808) 261-4996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1770116790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 VALKENBURGH ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183912",
            "telephone_number": "808-261-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 VALKENBURGH ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183912",
            "telephone_number": "808-261-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Uluniu St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342549",
            "country_code": "US",
            "telephone_number": "808-261-4996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95-221 Kipapa Dr",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967891147",
            "country_code": "US",
            "telephone_number": "808-261-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOH PARTNERSHIP OF HAWAII",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOOK ORTHODONTICS",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-821-7960",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B53837401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

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