NPIMap

Organization Active NPI

Soh of Texas Samson Liu PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Desoto, TX
National Provider Identifier
1891291712
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SOH OF TEXAS SAMSON LIU PLLC
Practice address
116 W Parkerville Rd Ste 112240
Desoto, TX 75115-8002
Phone
(469) 643-3422
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Ashly Sunshine
Title
Credentialing Specialist
Phone
(314) 413-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

116 W Parkerville Rd Ste 112240
Desoto, TX 75115-8002

Mailing address

1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544
Phone (636) 362-4986

Other practice location 1

1616 Fm 685 Ste 103
Pflugerville, TX 78660-7537
Phone (512) 252-4655

Other practice location 2

2730 Country Club Rd
Allen, TX 75002-8780
Phone (972) 727-6453

Other practice location 3

1514 E Abram St Ste A
Arlington, TX 76010-7213
Phone (682) 323-5522

Other practice location 4

3330 N Galloway Ave Ste 158
Mesquite, TX 75150-4701
Phone (972) 613-0004

Other practice location 5

2725 Ellis Ave
Fort Worth, TX 76164-7106
Phone (817) 759-9858

Other practice location 6

1930 E Park Row Dr
Arlington, TX 76010-4744
Phone (817) 801-9500

Other practice location 7

2131 N Collins St Ste 415
Arlington, TX 76011-2811
Phone (817) 801-1382

Other practice location 8

2203 W University Dr
Denton, TX 76201-0615
Phone (940) 442-5929

Other practice location 9

2170 Matlock Rd
Mansfield, TX 76063-3814
Phone (682) 518-5655

National Provider Directory

National Provider Directory
Tax ID family
Soh of Texas Samson Liu PLLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

1514 E Abram St
Ste A
Arlington, TX 76010
Phone (682) 323-5522

2203 W University Dr
Denton, TX 76201
Phone (940) 442-5929

116 W Parkerville Rd
Ste 112240
Desoto, TX 75115
Phone (469) 643-3422

2725 Ellis Ave
Fort Worth, TX 76164
Phone (646) 262-6648

2170 Matlock Rd
Mansfield, TX 76063
Phone (682) 518-5655

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1891291712",
    "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",
            "telephone_number": "636-362-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PARKERVILLE RD STE 112240",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158002",
            "telephone_number": "469-643-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Fm 685 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786607537",
            "country_code": "US",
            "telephone_number": "512-252-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750028780",
            "country_code": "US",
            "telephone_number": "972-727-6453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 E Abram St Ste A",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760107213",
            "country_code": "US",
            "telephone_number": "682-323-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 N Galloway Ave Ste 158",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751504701",
            "country_code": "US",
            "telephone_number": "972-613-0004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Ellis Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761647106",
            "country_code": "US",
            "telephone_number": "817-759-9858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 E Park Row Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760104744",
            "country_code": "US",
            "telephone_number": "817-801-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 N Collins St Ste 415",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760112811",
            "country_code": "US",
            "telephone_number": "817-801-1382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762010615",
            "country_code": "US",
            "telephone_number": "940-442-5929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2170 Matlock Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633814",
            "country_code": "US",
            "telephone_number": "682-518-5655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOH OF TEXAS SAMSON LIU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-06-14",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-413-2803"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.