NPIMap

Organization Active NPI

Soh of Texas Specialty Services PLLC

Doing business as Bunn Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1982368841
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOH OF TEXAS SPECIALTY SERVICES PLLC
Doing business as
Bunn Orthodontics
Practice address
7230 Briar PL
San Antonio, TX 78221-1600
Phone
(210) 921-9191
NPI assigned
Oct 27, 2021
Organization subpart
Yes
Parent organization
SOH OF TEXAS SPECIALTY SERVICES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Samson Liu
Title
Owner
Phone
(217) 821-7960

Specialties & licenses 1

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

Addresses

Primary practice location

7230 Briar PL
San Antonio, TX 78221-1600

Mailing address

7230 Briar PL
San Antonio, TX 78221-1600
Phone (210) 921-9191

Other names 1

  • Bunn Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Texas Specialty Services PLLC3 organizations share this tax ID, including this one
Part of
Soh of Texas Specialty Services PLLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1982368841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 BRIAR PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211600",
            "telephone_number": "210-921-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 BRIAR PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211600",
            "telephone_number": "210-921-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TEXAS SPECIALTY SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF TEXAS SPECIALTY SERVICES PLLC",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-821-7960"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bunn Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.